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Get and Sign Kansas Gas Service Dorm 12159 4 15 2019-2022 Form

Get and Sign Kansas Gas Service Dorm 12159 4 15 2019-2022 Form

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Only Garage/Outbuilding Service Reconnect Dirt Work Only Electric/Propane Foundation Complete Conversion (existing) Framing Framed-In Meter Set Only PROPOSED BUILDING COMPLETION DATE WORK PHONE CELL PHONE ( ( ) ) HARD SURFACE IN PATH OF SERVICE LINE? SITE SUPERINTENDENT or FOREMAN PHONE# SITE SUPERINTENDENT or FOREMAN NAME ( ) DATE SERVICE LINE NEEDED YES RATE INFORMATION NAME (MECHANICAL ENGINEER OR PLUMBER) NO Additional charges may apply if hard surface is installed prior to...
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