Multi Utility Application Form

1 Step 1
Company Name (if applicable)
Company Address
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Position In Company
Telephone Number
Mobile Number
Site Contact Name
Site Contact Number
Power On Date
Site Address
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Site Co-ordinates
Have You Had Any Other Quotes?
If Yes Please State Where
Type Of Quote Required
No. of Domestic Connections
No. of Industrial Connections
No. of Commercial Connections
No. of Gas Connections
No. of Electric Connections
No. of Water Connections
No. of Alterations
No. of Disconnections
No. of Street Lighting Connections
Meter installation
Telecoms Connections
Sewerage Connections
Include On Site Excavation?
New Build
Is the site being demolished
Is the site contaminated?
Are there any engineering difficulties?
Planned future construction?
If Flats, are any timber framed?
Meter Housing
Temporary Builders Supply Electric (kVa)
Single or 3 Phase
Temporary Builders Supply Water (l/s)
Pipe Size/Diameter
Landlords Supply - Electric (kVa)
Single or 3 Phase
Landlords Supply Water (l/s)
Pipe Size/Diameter
Housing Schedule Description - Example: Plot 1-10, 3 Bed, 5 kva, 32 kwh, 0.5 lps, Detached Houses
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Commercial Loading Requirements - Example: Unit 1-6 100 kva, 450 kwh, 2 lps, Kiosks (including base)
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How will the property (s) be heated
Is generation equipment being installed
Will a booster, compressor or CHP be installed
Are any Motor(s) being used IE Cranes/Lifts
MPAN for Disconnection
MPRN for disconnection
Meter Serial Number
Are meter removals required?
Is purging required (gas)?
Distance of service alteration (metres)
Additional Information
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Scaled Site Plans with meter positions marked
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Site Layout/Boundary Highlighted
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Your Name
Your Phone
About Your Project
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