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 City Description of Work*Is 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 INSTALLATIONPlease Enter Electric Load (KW at 100%) for Each of the Following: (Enter 0 (Zero) if not applicable)Lighting*Receptacles*Heating*Air Conditioning*Refrigeration*Microwave*Washer*Dryer*Motors*Elevator*LI KW*Other (Describe) Emergency Generation*NoYesGenerator KW* Requested Date of Service* MM slash DD slash YYYY All scheduling should be coordinated with LELD General Line Foreman, Dave Lizotte. [email protected] or 978-540-2276Notes:Note: If you need to sign up for any electric meters, click below:Apply for meterCAPTCHA
