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SNEW: South Norwalk Electric and Water > Forms > Application for New or Modified Electric Service

Application for New or Modified Electric Service

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Printable Form, New or Modified Electric Service Application Form (PDF)

Application Date:*
MM slash DD slash YYYY
Construction start date:*
MM slash DD slash YYYY
Temporary service need date:*
MM slash DD slash YYYY
Permanent service need date:*
MM slash DD slash YYYY
Service Information
Service Address*
Street Address Address Line 2 City State ZIP Code
Description of present and future use and service modifications:
Owner Information
Name*
First Middle Last
Phone*
EVE. Phone
Fax
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Dwelling Information
Services for*
- Commercial / Industrial
- Residential
Number of Floors:*
Service Type*
- New Construction
- Electric Service Modification
- Temporary Service
- Replace (Load Unchanged)
Area*
- Single Family Residential Home
- Multi Family Residential Home
- Subdivision
- Commercial / Industrial
Number OF Units*
Please enter a number greater than or equal to 1.
AVE. Unit Size (sqft)*
Please enter a number greater than or equal to 1.
Total dwelling area (sqft):*
Please enter a number greater than or equal to 1.
Existing (sqft):*
Please enter a number greater than or equal to 0.
New addition (sqft):*
Please enter a number greater than or equal to 0.
Garage: (sqft):*
Please enter a number greater than or equal to 0.
Gas Heat (sqft):*
Please enter a number greater than or equal to 0.
Oil Heat (sqft):*
Please enter a number greater than or equal to 0.
Heat Pump (sqft):*
Please enter a number greater than or equal to 0.
Electric Heat (sqft):*
Please enter a number greater than or equal to 0.
Avg. Size of EA. Dwelling unit (for multi-family dwellings)(sqft):
Please enter a number greater than or equal to 0.
Comm./ind. Hours of operation (sqft):
Electrical Contractor Information
To be completed by the Owner’s licensed Electrician or Engineer:
Name*
First Middle Last
Phone*
EVE. Phone
Fax
License #:*
Address*
Street Address Address Line 2 City State ZIP Code
Service Information
No. of Floors*
Please enter a number greater than or equal to 0.
Requested Service:*
- Overhead
- Underground
Total meters needed (including owner’s meter):*
Requested service voltage (ex: 208/120,3ph,4wirey):*
Requested service conductor no. & size (ex: 2- 300mcm cu):*
Requested service neutral size:*
New main service entrance size (amperes):*
New main service AIC rating:*
Standby/Emergency Generator Connection – See SNEW DR Policy
- Yes
- No
Do existing facilities need to be relocated:
- Yes
- No
Existing service:*
- Overhead
- Underground
- NA
Existing Number of Meters:*
Existing service voltage:*
Existing Service Conductor No. & Size:*
Existing Service Neutral Size:*
Existing Main Service Size (amperes):*
Existing Main Service AIC rating:*
Private Outdoor Flood OR Decorative Lighting Requested:*
- Yes
- No
Connected Load Information (do not apply demand factors; to be completed by the Owner’s licensed Electrician or Engineer):
Connected Load Information
Indoor Lighting Single Phase (kW):
Please enter a number greater than or equal to 0.
Indoor Lighting Three Phase (kW):
Please enter a number greater than or equal to 0.
Outdoor Lighting Single Phase (kW):
Please enter a number greater than or equal to 0.
Outdoor Lighting Three Phase (kW):
Please enter a number greater than or equal to 0.
Electric Dryer Single Phase (kW):
Please enter a number greater than or equal to 0.
Electric Dryer Three Phase (kW):
Please enter a number greater than or equal to 0.
Electric Ovens / Ranges Single Phase (kW):
Please enter a number greater than or equal to 0.
Electric Ovens / Ranges Three Phase (kW):
Please enter a number greater than or equal to 0.
Dishwashers Single Phase (kW):
Please enter a number greater than or equal to 0.
Dishwashers Three Phase (kW):
Please enter a number greater than or equal to 0.
Disposers / Compactors Single Phase (kW):
Please enter a number greater than or equal to 0.
Disposers / Compactors Three Phase (kW):
Please enter a number greater than or equal to 0.
Other Small Appliances Single Phase (kW):
Please enter a number greater than or equal to 0.
Other Small Appliances Three Phase (kW):
Please enter a number greater than or equal to 0.
Electric Hot Water Heaters Single Phase (kW):
Please enter a number greater than or equal to 0.
Electric Hot Water Heaters Three Phase (kW):
Please enter a number greater than or equal to 0.
Refrigerators Single Phase (kW):
Please enter a number greater than or equal to 0.
Refrigerators Three Phase (kW):
Please enter a number greater than or equal to 0.
Washers Single Phase (kW):
Please enter a number greater than or equal to 0.
Washers Three Phase (kW):
Please enter a number greater than or equal to 0.
Electric Heat Single Phase (kW):
Please enter a number greater than or equal to 0.
Electric Heat Three Phase (kW):
Please enter a number greater than or equal to 0.
Cooling Single Phase (kW):
Please enter a number greater than or equal to 0.
Cooling Three Phase (kW):
Please enter a number greater than or equal to 0.
Receptacle Load Estimate Single Phase (kW):
Please enter a number greater than or equal to 0.
Receptacle Load Estimate Three Phase (kW):
Please enter a number greater than or equal to 0.
Other / Misc. Loads Single Phase (kW):
Please enter a number greater than or equal to 0.
Other / Misc. Loads Three Phase (kW):
Please enter a number greater than or equal to 0.
Total connected load single phase (kW):
Total connected load Three phase (kW):
Motor Loads Info
All Values Power Unit will be (kW)
Heat Pump Single Phase(kW):
Please enter a number greater than or equal to 0.
Heat Pump Three Phase(kW):
Please enter a number greater than or equal to 0.
Heat Pump HP & NEMA Code
Hot Tub/Jacuzzi/Sauna Single Phase:
Please enter a number greater than or equal to 0.
Hot Tub/Jacuzzi/Sauna Three Phase:
Please enter a number greater than or equal to 0.
Hot Tub/Jacuzzi/Sauna HP & NEMA Code
Forced Air/Heat Motor Single Phase:
Please enter a number greater than or equal to 0.
Forced Air/Heat Motor Three Phase:
Please enter a number greater than or equal to 0.
Forced Air/Heat Motor HP & NEMA Code
Pool Pump Single Phase:
Please enter a number greater than or equal to 0.
Pool Pump Three Phase:
Please enter a number greater than or equal to 0.
Pool Pump HP & NEMA Code
Garage / Attic Exhaust Single Phase:
Please enter a number greater than or equal to 0.
Garage / Attic Exhaust Three Phase:
Please enter a number greater than or equal to 0.
Garage / Attic Exhaust HP & NEMA Code
Elevator Single Phase:
Please enter a number greater than or equal to 0.
Elevator Three Phase:
Please enter a number greater than or equal to 0.
Elevator HP & NEMA Code
Fire Pump Single Phase:
Please enter a number greater than or equal to 0.
Fire Pump Three Phase:
Please enter a number greater than or equal to 0.
Fire Pump HP & NEMA Code
Overhead Doors Single Phase:
Please enter a number greater than or equal to 0.
Overhead Doors Three Phase:
Please enter a number greater than or equal to 0.
Overhead Doors HP & NEMA Code
Gates Single Phase:
Please enter a number greater than or equal to 0.
Gates Three Phase:
Please enter a number greater than or equal to 0.
Gates HP & NEMA Code
Standby/Emergency Generator Single Phase:
Please enter a number greater than or equal to 0.
Standby/Emergency Generator Three Phase:
Please enter a number greater than or equal to 0.
Standby/Emergency Generator HP & NEMA Code
Well Pump Single Phase:
Please enter a number greater than or equal to 0.
Well Pump Three Phase:
Please enter a number greater than or equal to 0.
Well Pump HP & NEMA Code
Other Single Phase:
Please enter a number greater than or equal to 0.
Other Three Phase:
Please enter a number greater than or equal to 0.
Other HP & NEMA Code
Total Motors Load (Single Phase)(kW):
Total Motors Load (Three Phase)(kW):
Please read this section carefully!
The Customer and Property/Building Owner agrees to abide by and be governed by the ordinances, rules, regulations, policies, practices and service design standards of South Norwalk Electric and Water that are currently enforced and may subsequently be modified by the General Manager and/or Second Taxing District Board of Commissioners.
To establish a New account, please submit the “Residential (or Commercial) Electric Service Account” Form, applicable Deposit and this Form. Modifications to electric service require only this Form.
There are other important Forms that need to be completed by the Owner, such as the “Certificate of Tenancy”, “Landlord Notification (Change of Tenancy)” and “Deposit Application for Landlords, Management Agents and Other Businesses Involved with Management of Residential Accounts”.
To limit your liability, you the Customer are responsible for notifying South Norwalk Electric and Water in writing prior to termination of service by completing a Request to Disconnect Service Form. The Owner shall complete the applicable Contact and Dwelling information and sign this Form.
The Owner’s licensed Electrician or licensed Engineer shall complete the applicable Contact, Electric Service and Load information and provide nameplate data for “other” equipment listed on this Form. When requested, the Installer shall provide service conductor size and main service disconnect calculations with National Electrical Code (NEC) references.
Other items to be provided by the Owner include:
- Contract for Private Lighting – if private, decorative or non-decorative street lighting is desired.
- Plot Plan.
- Prints showing outdoor Electric Meter locations, service disconnect switch, primary and service conductor routing, pad, vault, and handhole locations, and transformer sizes with clearances in accordance with SNEW, NEC and National Electrical Safety Code requirements.
- Written request for an additional (alternative) supply.
- Rights-of-way and easements to SNEW equipment.
- Scheduling City of Norwalk Electrical Inspection.
- Scheduling SNEW inspection of trenching, conduit system and pad / vault installation and grounding.
- Submittal of Non-parallel Operation/Open Transition Transfer Switch form or Interconnection Guideline. Application and Agreement for standby and emergency generators. Please see SNEW’s Distributed Resource Policy.
MAIL TO:
SOUTH NORWALK ELECTRIC & WATER
DIRECTOR OF OPERATIONS
1 STATE STREET
P.O. BOX 400
NORWALK, CT 06856
Authorization*
- I affirm that the information is correct to the best of my knowledge. I understand that any changes to the above information or drawings will increase the time required for SNEW to provide electric service and that I might be liable for SNEW’s applicable costs.

Application for Commercial Electric Service
Application for New or Modified Electric Service
Application for New or Modified Water Service
Application for Residential Electric Service
Customer Authorization Form, Electric Operations
Customer Authorization Form, Water Operations
Request to Disconnect Service
Blanket Deposit Application
Utility Asset Information Request Form

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