Complete this application if you need to: Move a gas line or meter (Example: building a garage or adding square footage) Upgrade service capacity (Example: adding new appliances or equipment) Remove or retire service (Example: demolishing or moving a building) Service Details Type of Request Move a gas line or meter Upgrade service or capacity Remove a gas line Consumption load and delivery pressure details are required to process your request. Contact your mechanical contractor to gather this information. The legal landowner is required to make any changes to the gas services. Are you the legal landowner of this property? Yes No Extra Details Requested date for change Tell us about the type of work Service Address Address Type Civic Address Legal Land Description Civic Address House Number Street Name City/Town/Resort Lot Block Plan Subdivision Name Legal Land Description LSD Quarter Section Township Range Meridian Civic Address (if applicable) City/Town/Resort For rural locations, provide the nearest city or town. Lot Block Plan Parcel Municipality Latitude Longitude Subdivision Name Current Consumption Details Consumption Load Unit BTU/HR M3/HR Delivery Pressure Unit PSI kPa Usage Type SelectSeasonal WinterSeasonal SummerYear Round Select all that apply to the current load Furnace Boiler Water Heater - Storage Tank Water Heater - Tankless Range Dryer Barbecue Shop/Garage Heater Pool Heater Grain Dryer Fireplace(s) Other Provide details Consumption Increase Details Additional Load Required Unit BTU/HR M3/HR Usage Type SelectSeasonal WinterSeasonal SummerYear Round Delivery Pressure Increase Unit PSI kPa Select all that apply to the requested load increase Furnace Boiler Water Heater - Storage Tank Water Heater - Tankless Range Dryer Barbecue Shop/Garage Heater Pool Heater Grain Dryer Fireplace(s) Other Provide details Applicant Information SaskEnergy Account Number (11-digits) First Name Last Name Business Name (if applicable) Phone Email Comments We may have missed asking a question that could help us accurately respond to your request. Provide us with other details about the work you are planning. Other Contacts (Ex. heating contractor) Other Contacts First and Last Name Cell Number Email Type of Contractor Acknowledgement By selecting “I agree”, you acknowledge and agree the information provided is accurate and complete; are an authorized agent to make this request; acknowledge and agree to being contacted by SaskEnergy or an authorized third party in order to conduct survey(s) regarding the provision of natural gas services or to follow-up with respect to the provision of natural gas services or the equipmentinstalled; acknowledge and agree to the use, collection, storage and retention of your personal information, and any other information you provide with this form in accordance with our Privacy Policy and Terms & Conditions of Service Schedule, as applicable. I agree Math question 6 + 13 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.