t tt WYSIWG leftright Service Details Type of Request New service to a new building New service to an existing building Site Readiness Is foundation and/or piles in place? Yes No Is lot within 150 millimetres (6 inches) of final land grade? Yes No If No is the response to any of the questions, do not proceed with this application. When you are at the point that you can answer Yes to all, please return to this site and proceed with the application. I agree that I have reviewed the site readiness guidelines and fulfill the criteria to proceed with this application. Site Plan Details Buried Facilities on Property Yes? No Unsure Attach Site Plan Maximum 10 files.10 MB limit.Allowed types: GIF, JPG, JPEG, DOC, DOCX, BMP, PDF, PNG, PPT, PPTX, XLS, XLSX, VSD, DWG, DXR, DWF, TIF, TIFF. Service Address Civic Address or Legal Land Description 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 Consumption Details Consumption Details Custom Composite Consumption Details Custom Composite Premise Type Please select one Premise Type and all applicable Natural Gas Equipment. If more than one Premise type, select the Add Premise Type button below. SelectAeration-in BinApartment/CondoCommercial BuildingDairy BarnGrain Dryer (Commercial)Grain Dryer (Farm)Grain TerminalGreenhouseHog BarnOil FieldPool (Indoor)Pool (Outdoor)Poultry BarnPump HouseResidentialRestaurantShop/GarageStandby GeneratorOther (Add Comment) Other (Add Comment) Consumption Load Unit BTU/HR M3/HR Usage Type SelectSeasonal WinterSeasonal SummerYear Round Natural Gas Equipment Pool Heater Water Heater – Storage Tank Water Heater – Tankless Range Dryer Barbecue Shop/Garage Heater Boiler Furnace Standby Generator Unit Heater Radiant/Infrared Heater Grain Dryer Other Other Comment Contractor Information Mechanical Contractor’s First and Last Name Phone Email Business Information Type Sole Proprietorship Partnership Limited Company Describe the nature of your business. Ie. Bakery, Warehouse, Manufacturing Maximum 2000 characters. Applicant Information Company Name? Mailing Address City/Town Province Postal Code Billing Contact First and Last Name Phone Email SaskEnergy Account Number for Billing (11-digits) Privacy and Verification Mother's Maiden Name Your Date of Birth Government Issued Identification? SelectDrivers License NumberPassportTreaty Number ID Number Site Contact Same as Billing Contact? Site Contact First and Last Name Phone Email Other Contacts List additional company contacts, signing officers or principles. Other Contacts First and Last Name Title/Role Phone Email 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 equipment installed; 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 2 + 5 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
