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EUC Form.pdfC�j 28#E28 EFonds Utilities CQnsartin 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: Z M 2 7Y $` A-tlC-- t4J, /V®/V,6S �8�2 -6073 A YAW-"Zo e% 6 �� 3z�S� /o�y 6 3E , Avg t'rJ, G •rr�<��>� Mary McAllister - 425.670-3216 You will need to provide PUD with a site plan and a completed New Service Questionnaire. PUGET # 52 f SOUND ENERGY IVrAR r/A,S -APAPF ( -rA X4hik)1, Ate � Cu s-0t'r—e �tusr, -)W1W 1 g8� 3�1 �� 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. # • fl�� onfier 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 # CoNl1r ��s c�tt�� �iNF �66 7�/ 2Z gJ You will need to provide Comcast with the location of your project, a copy of Mike Fontenot 425.263-5482 your development and site plan (digital copy if available.) The date in which service is required and a list of contact names, phone numbers & mailing �v'AM vrtW # /�dT ��� G A 1�,LEE _ Q !'a�Re anvFn d� 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 1611 j SERVICES STAFF AT THE TIME OF PERMIT SUBMITTAL Rev. 10/1/13