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EUC Form.pdfEU l'�� Payy e'i CI C, COUNTER F& M& Utilities Consortium CUSTOMER - EUC CONTACT Form A coordinated utility environment which maximizes joint utility opportunities to provide quality service for the citizens of Edmonds YOU WILL BE GIVEN A CONFIRMATION NUMBER BY EACHUTILITY ONCE YOU HAVE INFORMED THEM OF YOUR PROJECT. SITE ADDRESS: 8616 196TH STREET SW, EDMONDS, WA 98026 P U ® #PUD-0078-2018 Mary McAllister — 425-670.3216 You will need to provide PUD with a site plan and a completed New Service Questionnaire. PUGET 1 ��' SOUND # 505751262 ' ENERGY New Customer Construction Call to verify gas availability and to coordinate service install. You will need to Department- 1.888-321-7779 provide parcel number, contact phone number and mailing address. t�er # 327 ft7'.12he NeiY Fronfor You will need to provide Frontier with the location of your project, total line Dow Brandley 425-263-5101 requirement, and the date in which service is required. A copy of your development plan may be required. O # 2961 You will need to provide Comcast with the location of your project, a copy of your development and site plan (digital copy if available.) The date in which John Warrick 425 263-5328 service is required and a list of contact names, phone numbers & mailing addresses. µPIC Verb # N/A (CITY OF EDMONDS WATER) P Y�A� SFYIER Off,` 425-774-7769 You will need to provide OVWSD with the survey map of your site and For customers in Olympic Viem, Service Area complete a development information form. THIS FORM MUST BE COMPLETED AND GIVEN TO DEVELOPMENT SERVICES STAFF AT THE TIME OF PERMIT SUBMITTAL Rev. 10/1/13