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Modification
This form is not for any request involving a change in electric service load.  All requests for a change in electric service load requires submittal of an Application for Electric Service. Details can be found at www.sfpuc.gov/hetchydevelopers

Incomplete or missing information will cause delays in processing and may result in the request being rejected.
Project Information























Contact Information

Other: Role/Relationship to Project
                                          
Applicant Information (will be used as the main point of contact)












Owner/Developer Information (if different from Applicant)












Representative Information (if different from Applicant/Owner)












Professional Electrical Engineer of Record











Attachments (MAX GROUP FILE SIZE 30MB)
Meters

Single Line Diagram (SLD)

Site Plan(s)

Additional files (If applicable)

Acknowledgement
The applicant hereby applies to the SFPUC for services. Applicant acknowledges that this Application is subject to the SFPUC's Rules and Regulations Governing Electric Service that can be found at www.sfpuc.gov/ElectricRules. By clicking "Submit" below, I agree that the information contained in this Application is correct to the best of my knowledge. I understand that any changes made to the above information or attached documents may increase the time and costs required for SFPUC to provide electric service at the requested service address and that I will be responsible for any increased costs resulting from such changes. I understand that service will be provided based in part upon the information provided herein. The SFPUC will provide the Applicant with an estimate for any Applicant cost responsibility. Applicant, or designee, agrees to pay SFPUC for all work performed and all costs incurred to provide the service requested by this Application. SFPUC may cancel this project if Applicant does not proceed with the project and it becomes inactive for 12 months. If the project is cancelled, by either party, Applicant agrees to pay SFPUC for all such work and costs incurred by SFPUC prior to the cancellation.

Hidden Fields for Record Transfer to Salesforce (INTERNAL USE)
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