Application for New Electrical Service Connections

APPLICATION FOR NEW ELECTRICAL SERVICE CONNECTIONS

Please complete, scan and email your application to the BC Hydro regional office nearest to your service location:

Please include service address, permit no., and reference no. (if available) in the subject line of the email.

Lower Mainland-Burnaby: lmc.declarations@bchydro.com    S. Van Island-Victoria: svi.declarations@bchydro.com

Lower Mainland-Surrey: fv.declarations@bchydro.com    N. Van Island-Nanaimo: nvi.declarations@bchydro.com

BC Interior- Kamloops, Prince George, Vernon: int.declarations@bchydro.com

If you are unsure of which BC Hydro regional office to email this document to, please phone 1-877-520-1355 to hear a list of areas covered by each regional office.

If you require assistance when filling out this form, please call 1-877-520-1355 between 8:00 a.m. and 4:00 p.m. Monday to Friday to speak to a BC Hydro Representative.

I. SERVICE INFORMATION

Last Name: First Name:

Legal or Registered name of Company (if applicable)

Service Address:

Town or City: Province: Postal Code:

Legal Description of Service Location: Lot # Plan#

Billing Address (if different than Service Address):

Town or City: Province: Postal Code:

Billing Address (if outside of Canada):

Home Phone: Work Phone:

Cell: Email address:

II. REFERENCE DATA

a) Spouse or Partner (for Residential Requests only)

Last Name: First Name:

Address:

Town or City: Province: Postal Code:

Home Phone: Work Phone:

Cell: Email address:

b) Employer (for Residential Request only)

Name of Company:

Position:

Address:

Town or City: Province: Postal Code:

Home Phone: Work Phone:

Cell: Email address:

c) Personal Reference (for Residential Request only)

Last Name: First Name:

Address:

Town or City: Province: Postal Code:

Home Phone: Work Phone:

Cell: Email address:

d) Principal Partner (for Commercial/Industrial Request only)

Last Name: First Name:

Address:

Town or City: Province: Postal Code:

Home Phone: Work Phone:

Cell: Email address:

e) Financial Institution (for Commercial/Industrial Request only)

Financial Institution:

Address:

Town or City: Province: Postal Code:

Country: Phone: Contact Name:

III. ADDITIONAL CONTACT INFORMATION

a) General Contractor

Contact Name:

Name of Company:

Address:

Town or City: Province: Postal Code:

Phone: Cell:

Email address:

b) Electrical Contractor

Contact Name:

Name of Company:

Address:

Town or City: Province: Postal Code:

Phone: Cell:

Email address:

c) Other (please specify e.g. developer, consultant, etc. if applicable)

Contact Name:

Name of Company:

Address:

Town or City: Province: Postal Code:

Phone: Cell:

Email address:

IV. SERVICE DETAILS

Type of Service: Overhead Underground

Directions to Site (for remote locations):

Is house under construction?

If NO, has the location been staked? Date location to be staked:

If YES, indicate construction stage:

Location of house (in metres): From property line at road m    From property line at side m

Please indicate distance of nearest power line to your property:

Pole identification tag number:

Date service required: Year: Month: Day:

120/240 Volt Main switch size: amps

IF SERVICE REQUIRED IS GREATER THAN 200 amps or voltage is not 120/240, please complete the section below.

Number of hours of operation/day: Number of operational days/week:

Largest Motor size: hp    Average Operating Demand: kW

Code Peak Demand: kW    Time of Day of Peak Demand:

Building Heated by: If Other, please specify

Load Details

Connected kW

Electric Heating Load kW

Lighting Load kW

Motor Load kW

Air Conditioning Load kW

Other Load, specify: kW

Total Connected Load kW

Proposed Future Load kW

Metering Information

Number of Meters Required

Wire Size

CT Type

CT Lugs – Conductor Size X

Meter Cabinet

Temporary Master Metering Required?

AGREEMENT:

The undersigned by applying for service and submitting this Application acknowledges an obligation to pay for service provided by BC Hydro in accordance with this Application and the electric tariff as amended or replaced from time to time for inspection at any general office of BC Hydro.