Service Line Installation Application Form

Service Line Installation Application Form

Pennsylvania Home Gas Service Line Installation Application

Fill out the form below and click the button to generate a PDF. Then please mail to National Fuel at 225 Wayne Street, Erie, PA 16507 or fax to 814-871-8312.

Residential New Service Line Application

Is the structure New or Existing?*

*required

Has there ever been National Fuel gas service to this property?*

*required

If yes, were you the owner at the time?*

*required

Is this a fuel conversion?*

*required

*required

*required

Is there a gas well on the premise?*

*required

Will National Fuel be your primary heat source year round?*

*required

Address where you are requesting service:

Please note: The investigation cannot take place until a house number has been assigned and the foundation is complete.

*required

(Lot #)

*required

*required

*required

Mailing Address

(if different from above)

(Lot #)

Upon receipt of this application, a service investigation will be generated. The investigation may take from 1 to 3 weeks to complete depending on various factors including backlog, weather, and emergencies. The investigation identifies the location of existing facilities and the requirements to serve the structure. The delivery pressure is 4 ounces. If installing a home generator, please verify with your installer that it will operate at this pressure.

Once the investigation is complete, an invoice will be provided detailing any required payments and instructions to proceed with the new service. Payment in full and agreements must be returned to National Fuel before approval is granted for installation of the new service. Depending on the requirements for the new service, the time for installation will vary. If the new service requires an extension of our main gas line, it will take much longer due to additional requirements such as obtaining right of ways and permits. Please plan accordingly! The time from when the application is received until the new service is installed could be 8 weeks or more.

Please provide the gas equipment and BTU input/hour for each meter requested.

This information is required to properly size the service line and meter.

Possible gas equipment considerations: furnace, water heater, range, clothes dryer, fireplace, space heater, pool/spa heater, garage heater, gas grill, natural gas generator.

Type of Structure:*

Note: Single Family Homes should only complete information for Unit 1 in table below as you will only be installing one meter.

*required

For each unit, please fill out the following 3 tables (if applicable):

Unit # Square Footage In the next 2 years do you anticipate adding:

Add Unit

Unit # New/Added Gas Equipment BTU Input/Hour Quantity Total BTU Input/Hour

Add New/Added Equipment

Unit # Existing Gas Equipment (For service line upgrade use) BTU Input/Hour Quantity Total BTU Input/Hour

Add Existing Equipment

NOTE: Normal Delivery Pressure is 4 ounces (7 inches of water column)

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