* Required Fields
Step 1: Builder Information
Company Name: * Company Phone: *
Owner/CEO: * Owner Phone: *
Owner email: *
Contact Name: * Contact Phone: *
Contact email: * FAX #: * Type NA if no FAX #
Step 2: Subdivision Information
Subdivision Name: * Lot# :   *
Address: *
Total Heated & Future Square Footage:   *
Step 3: Temporary Service
Temporary Service Needed (Please Check One) Yes  No *
Step 4: Utility Service(s)
Please check the Electric Only Box if you do not need Gas Service:
Both (Electric & Gas) Electric Only 
Step 5: Electric Service Information:
Entrance Wire
Number of Wires: * Wire Size: *
Pedestal/Socket Type (Please Check One):
S1  S2  CT (MLGW representative will contact you if CT Metering is required)   Electric Service NOTE
Step 6: Gas Service Information: *** Not required if only for Electric Service
Total Connected Gas Load (BTU's): # of Tankless Water Heaters: Gas Delivery Pressure(Choose One):
Note: The delivery pressure is determined by total connected gas load, pipe size, & length of pipe line installed by the mechanical contractor.
Step 7: Water Service Information: *** Water areas served by MLGW
Water Service Size (Please Check One if applicable): 3/4 "  1 "
Step 8: Attach Drawing:
Send this file:
Note: The maximum size of the attached file accepted is 300 Kb. You may only attach files with the following file extensions: '.pdf', '.tif', '.bmp', 'jpeg', '.jpg', '.png', and '.gif'
Step 9: Contact Required
  Please have an MLGW representative contact me prior to design   Contact Required NOTE