NewConst Res Comm App

							                                  Notification of New Construction
                                     Important Contact and Project
                                  Information-Residential/Commercial

                                       How Can We Contact You?
                   Description                                        Location
    Residential                                   Address_____________________________________
    Single Family                                 Lot___ Block ___ Section ___Twsp ____Range_____
    Multiple Family                               Subdivision Name ____________________________

Contractor Name:_____________________________________________________________________
Federal Tax Id(FID): _________________________________________________________________________
Email Address: _______________________________________________________________________
Mail Address:                                        ___________________      ____________
City:                      ______       State: ________________ Zip Code:_________________
Phone Number: _________________Cell Phone Number: ________________________
Fax Number: ___________________Pager Number: ___________
Electrical Contractor Name: ___________________________________________________________
Phone Number: _______________________Cell Phone Number: _______________________________
Homeowner Name: ______________________________________________________________
Phone Number: _________________________________________________________________
How would you like to be reached?    Telephone    Beeper    Mail    Fax    E-mail Cell phone




         Construction Options                                      Required Information
Type of Permanent Service                                 Site Plan
  Overhead                                                Total A/C square footage _________
  Underground                                             Number of A/C units _____, Size ______
Type of Temporary Svc (If available)                      Heat Strip Size _______________KW
  Overhead                                                Main Panel Size ____________AMPS
  Underground
Desired Date For Permanent                             Desired Voltage
_____/_____/_____                                           120/240v-1ph     120/240v-3ph
Desired Date For Temp (If available)                        120/208v-1ph     120/208v-3ph
_____/_____/_____

        Your SECO Construction                                        What SECO Will
              Coordinator                                               Provide you
    Name                                                 Industry Know How
    E-Mail Address                                       Technical Proficiency
    Mail Address                                         Hands-on Project Management
    Phone Number                                         Crew Professionalism & Knowledge
    Pager Number                                         Open Communication

                        Thank you for the opportunity to serve you.