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EUC Form.pdfE U Fonds Utfhes Comoifin 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: 1.91.25 94th Ave W & 9302 192nd P1 S"" M 1101.IN7"E11 Mary McAllister - 425-670-3216 You will need to provide PUD with a site plan and a completed New Service Questionnaire. PUGET #503157420 - 19125 94th Ave W SOUND #5031.57425 - 9302 192nd P1 SSV New Customer Construction Call to verify gas availability and to coordinate service install. You will need Department - 1-888-321-7779 to provide parcel number, contact phone number and mailing address. ## 322 wmCtrr°c °t"" er* You will need to provide Frontier with the location of your project, total line Jeremy Fallt - 425-263-4024 requirement, and the date in which service is required. A copy of your development plan may be required. p 111 Q -r lit &A 6 (,camcast, 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 Mike Fontenot 425-263-5482 service is required and a list of contact names, phone numbers 8z mailing addresses it m Not Applicable Steve Dunphy - 425-774-7769 ext. 110 You will need to provide OVWSD with the survey map of your site and For customers in Olympic View 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