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• END USES .... <br />Gas (specify BTUs/hour input) <br />• <br />Electric (specify kW) <br />Other Fuel Type <br />Heating <br />KE6n0o1-1 - y KW 121)•14. <br />1' AosS£_SW <br />Water Heating <br />W 12-Q Y <br />_LSO6 3 <br />Cuuknig <br />Gi es Drying HANG) <br />S-to 14‘44% <br />1R.12.1C.v&enor-1 Purl 19 <br />'- 8 4W oe 301-1? <br />Lighting (Commercial Only) I <br />In .1 1s:Vp, <br />-Heat Source (check type) ❑ forced air furnace 0 heat storage 0 underfloor/slab heat 0 baseload <br />Meter Option (if applicable) ❑ Time of Use ❑ Dual Fuel 0 Limited Off -Peak 0 Saver's Switch <br />Sketch site (attach site plan or draw sketch below) including proposed meter locations and compass directions. <br />Please sketch house when you are facing the front of the house from the outside. <br />ibEeTv456N E eSSuM-4-T Avg. ST. Sb%rnA oF MvR-PNY <br />Service Address SnJtaDIvi'StO 1 1 PJ Otallt4 O1r WAtls:%M$C0¢� FASt.1'1, <br />Please <br />indicate <br />north <br />I— 35' --� <br />Garage <br />House <br />Gas Meter <br />(note distance <br />X- <br />15' <br />1 <br />2nd Street <br />Mailing Address: <br />Xcel Energy - <br />Builders Call Line <br />Xcel Energy <br />Phone: 1-800-628-2121 <br />Fax: 1-800-628-2521 <br />1. Customer owned facilities must be located <br />and identified by customer. <br />2. Indicate distances for meters from nearest <br />corner of building. <br />3. Preferred meter location is on same side of <br />house as Xcel Energy source. <br />4. Inspection must be complete before service <br />is energized. <br />5. If no Inspector, Proof of Compliance (Electric) <br />and/or Certificate of Compliance (Gas) must <br />be complete. <br />6. Site must be within 4 to 6 inches of final grade <br />(for new construction) and a clear 10-foot- <br />wide path from Xcel Energy source to meter. <br />7. Winter construction charges may apply from <br />10/1 to 4/15. <br />8. Water and sewer must be installed prior to <br />electric or gas service. <br />Meter Conflict Zone any potential area for a deck, <br />patio, pool, etc. <br />1-800-628-2121 ©2002 Xcel Energy Inc. <br />mum vralanarnv rnm 1 Xcel Energy is a trademark of Xcel Energy Inc. <br />m-m-n1a CSSN non 7nM <br />