Electrician Service Application Electrician Service Application Name* First Last License Number*Company Name*Company Address* Street Address City State / Province / Region ZIP / Postal Code Contact Phone*Email* Project Address* Street Address Town Description of Work*0 of 250 max charactersIs this service request for Solar or Energy Storage (Battery)?*NoYesIs this service request for Electric Vehicle (EV) charging system?*NoYesProject Type*NewUpgradeTemporaryRelocateRemoveCustomer Type*Single FamilyCommercialBuilding Type*ResidentialCommercialService Size*Main Breaker Size*Phasing*Single Phase (120/240V)Three Phase 4-Wire (120/208V)Three Phase 4-Wire (277/480)OH/UG Service*OverheadUndergroundNumber of Meters*ALL NEW METER LOCATIONS MUST BE APPROVED BY LELD PRIOR TO INSTALLATIONNote: If detailed load data is required, LELWD Engineering Dept. will reach out to the contact listed on this application.Emergency Generation*NoYesGenerator KW*Requested Date of Service* MM slash DD slash YYYY All scheduling should be coordinated with LELWD General Line Foreman, Rob Hunt. rhunt@lelwd.com or 978-540-2278Notes:Note: If you need to sign up for any electric meters, click below:Apply for meterCAPTCHA
