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Request for Non-Residential Gas Service

1 Fill Form        2 Review Form        3 Submit Form

Project Information

(Required)


(Required)
(Required)

(Required)

Application Information

(Note: SS/Tax ID# will be REQUIRED once you receive your "Contract" for signature due to ratepayer funded allowance credit requirements)

Responsible Party (As it should appear on the Contract) (Required)
(Required)
Yes No
(Required)
Yes No
(w/Area Code)
( ) - -
(Include Apt/Suite, or Bldg Info - No P.O. Box)





(if applicable)
(if different from street address)





Contact Name & Title (if different from applicant)
(w/Area Code)
( ) - -
(w/Area Code)
( ) - -
(Required)
(w/Area Code)
( ) - -
(w/Area Code)
( ) - -

Construction Contacts

(if different than Applicant such as Utility Consultants and/or Construction Trench Provider)

( ) - - ( ) - -
( ) - - ( ) - -

Project Timeline

(Required)
/ / (mm/dd/yyyy) / / (mm/dd/yyyy)

Construction Information

Gas Installation Requested Construction Type Installation Method Business Type
Gas Installation Requested


Construction Type

Installation Method


Business Type


Load Information

(Please list all gas equipment and load - Each meter requires a separate form to determine meter size)

New | Existing Equipment Equipment Function Quantity Equip Input
per Unit
MBTU/Hr
(1 MBTU = 1,000 BTU)
Equipment Operation Schedule Alt. Fuel Type?
Hrs/Day Days/Wk Wk/Year
New or Existing
Example - Boiler Space Heating 1 2500 6 5 24 Propane
New or Existing
New or Existing
New or Existing
New or Existing
New or Existing
New or Existing
New or Existing
New or Existing
New or Existing
Gas Pressure Requested:


Please provide information on:

Applicant Installation Options

Applicant Install - Rule 20 section G allows the applicant to receive a competitive gas installation bid, if desired. If the AI bid option is selected, a gas line extension may be installed by the Applicant's SoCalGas certified and approved Installer and installed per SoCalGas design and installation specifications.

If selected, the Applicant is responsible for, but not limited to, all applicable permits, paving, trenching, approved material, and SoCalGas inspection. SoCalGas does not refer or recommend Applicant Installer's to Applicants due to anti-competitive preferential treatment rules.

Please Select One (Required) :      

/ / (mm/dd/yyyy)


(Add comma's for multiple email addresses)