Residential New Service Line Application

NewExisting

*required

YesNoDo not know

*required

YesNo

*required

YesNo

*required

YesNo

*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.

House Number and Street:*

*required

City/Town*

*required

Nearest cross street(s):

Mailing Address

(if different from above)

Street Address

City/Town

Contact Name:

Secondary Contact Name:

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.

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

Single Family HomeMobile HomeDuplex or Multi Family Unit

*required

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

Add Unit

Add New/Added Equipment

Add Existing Equipment

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

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