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ThermWise

Service-Line Request

If you are in the process of building a new home or business facility and wish to arrange for the installation of the natural gas service line, from the street to your structure, simply fill out the form below.
  
Be advised that installation times can vary between six to eight weeks after receipt of request.
First Name*:
Middle Name:
Last Name*:
Company Name:

Enter the address where you are requesting gas service.
Street Address*:
City*:
State:
Zip Code*:
Subdivision:
Lot#:

Enter a mailing address if different than the service address.
Address:
City:
State:
Zip Code:

Please enter phone numbers, including area code. Use numbers only (no punctuation):
Home Phone*:
Work Phone:
Cell Phone:
Pager:
Fax:
   
Email Address*:
 

 
Owner Builder
Stage of Construction:
Date foundation
will be backfilled:
(example mm/dd/yyyy)
Setback footage:
Specify where you would like the gas meter to be located on the structure. A standard location is 3 feet back from the front corner.
Standard: Other:
Please describe:

Please indicate the type and number of all gas appliances to be installed. Also, if you are able, enter the total number of BTUs per appliance category.
 
Type
 &
No
BTU's Per Appliance   Type
 &
No
BTU's Per Appliance
Furnace: Barbecue:
Water Heater: Range:
Dryer: Fireplace:
Pool Heater: Garage Heater:
Space Heater: Gas Light:
Patio Heater: Spa Heater:
Boiler: NGV:
Gas Log: Cooktop:
           
Other: (please describe)

Would you like information on natural gas equipment?
 
Yes No
 

Comments:  

Please select the closest Questar Gas office to the requested service line location:
Questar Gas Office*:
   
 

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