New Residential Electric Service

Additional Information

Provide a copy of the following documents

  • Legal description of property or copy of last recorded deed.
  • County assessor’s parcel map indicating home site(s), easements, and rights-of-way.
  • Detailed plot plan.

Customer Certification

I certify that the information provided on this form is accurate and complete to the best of my knowledge; and that I own, lease, or have a contract to purchase the property or premises referenced in this request for service or I have been authorized by the owner or lessee to complete this request on their behalf.

Plan of Service and Load Requirements

I acknowledge that I am required to notify Tillamook PUD-Engineering if load requirements at this service location change significantly.

Tillamook PUD conducts routine inspections and monitoring; if load measurements consistently exceed PUD equipment ratings, I will be contacted and could be responsible for the cost of any damages and/or upgrades deemed necessary to ensure the safety and protection of utility equipment and personnel.

Temporary Service

 

Permanent Service

 

Project

  • Temporary Service?

  • Permanent Service?

 

Contractor Information

 

Contact Information

 

Project Information

  • Who Will Trench, Install, Conduit, And Backfill?

 

Electrical Load Information

  • Section

 

Fieldset

 

Verification