Service Change

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.

  • Applicant Information

  • Contact Information

  • Project Location

  • Project Information

    Service Upgrade

    Electrical Load

  • Average Amps Compared to Breaker Size *

  • Voltage

  • Service Change

    Relocate Service

  • Overhead to Underground Conversion

  • Other

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