SERVICE LINE AGREEMENTService Line Agreement • March 25th, 2021 • Utah
Contract Type FiledMarch 25th, 2021 JurisdictionAPPLIANCES TO BE CONNECTED METER PAD CUSTOMERWESTERN PRIDE CONSTRUCTION # 122111 TYPE BARBEQUEFIREPLACE FURNACE GENERATOR UNIT HEATER WATER HEATER Total BTU BTU 50000900002200001500005000040000600000 ◉ Not Required○ By Applicant○ By QGC SERVICE ADDRESS259 BIG MATTERHORN WAY METER PRESSURE SUBDIVISIONINTERLAKEN LOT NO211 2 lb METER PROTECT CITY OR COUNTYMIDWAY STATEUT ZIP CODE84049 ◉ Not Required○ By Applicant○ By QGC MAILING ADDRESSPO BOX 307COALVILLE, UT 84017 RISER LOCATIONSpecial - WEST SIDE OF HOME BEHIND STAIRWELL AND WINDOW SERVICE LINE COSTSInstallation Charges 2,080.49 JOB TYPENEW SERVICE SPECIAL CONDITIONSMETER LOCATION- BEHIND STAIRWAY AND NEXT TO WINDOW PIPE SIZE3/4" TOTAL CUSTOMER COST NOW DUE$2,080.49 Please submit payment to Dominion Energy, PO Box 27031, Richmond, VA 23261-7031To pay with credit card please call 1-800-378-1269 or go to https://internet.speedpay.com/dominionnongas TERMS AND CONDITIONS1. Scope of Work. Dominion Energy Utah ("Company") shall const