Service Details Building Type Single Family Home Mobile Home Ready-to-Move/Modular Home Shop or Detached Garage Duplex/Multi-Unit Site Readiness Single Family Home/ Shop or Detached Garage/ Duplex/Multi Unit Is foundation and/or piles in place? Yes No Are the walls up and is backfill complete around the building? Yes No Is the lot within 150 millimeters (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. Ready to move (RTM) or Modular Home Is foundation and/or piles in place and back fill complete or final house location staked? Yes No Is lot within 150 millimeter(6 inches) of final land grade? Yes No Is house plan complete and can be provided? Yes No Is on-site arrival date of the home finalized? Yes No Home Delivery Date 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. Mobile Home or Trailer Is final location of the home staked? Yes No Is on-site arrival date of the home finalized? Yes No Home Delivery Date 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. Additional Service Details Location Type Farm/Acreage Urban First Nation Resort Rural Subdivision? Have you received an online estimate? Yes No Enter your Reference Number The reference number was included in your estimate confirmation email. Will your load requirements be larger than 30 m3/hour (1,059,000 BTU/hr)?? No Yes Do not proceed with this application. We can not process your request until you have completed an online estimate. Get an online estimate Enter your Reference Number The reference number can be found in your estimate confirmation email. Type of Request New service to a new building New service to an existing building Are there buried facilities on the property? Yes? No Unsure Attachments 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. Attach House 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 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 Service Address House Number First Nation Lot Block Latitude Longitude Quarter Section Township Range Meridian Consumption Details Consumption information is mandatory to process your application. If unknown, contact your plumbing and heating contractor to provide you with the load details. Incomplete or inaccurate information will significantly delay your request for service. 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 Delivery Pressure Unit PSI kPA 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 Number of Natural Gas Meters After construction, do you have future plans to build any other structures on the property such as a garage, shed or pool? Yes No Briefly describe future plans you are considering Electrical Service Would you like to apply for electrical service with SaskPower? Yes No The option for joint service trenching is available in the following service areas: Saskatoon, Regina, Dalmeny, Pilot Butte, Emerald Park, Martensville, Warman, White City Is the service connection in one of the areas listed above? Yes No Electrical Service Size (in AMPs) 100 200 400 600 Electrical Permit Number Number of Electrical Meters Applicant Information First Name Middle Initial Last Name Phone Email Mailing Address City/Town Province Postal Code SaskEnergy Account Number for Billing (11-digits) Are you the legal landowner of this property? Yes No Privacy and Verification Place of Employment Work Phone Number Mother’s Maiden Name Your Date of Birth Government Issued Identification? SelectDrivers License NumberPassportTreaty Number ID Number Government Issued Identification SelectDrivers License NumberPassportTreaty Number ID Number Is there a Co-Applicant?? Yes No Co-Applicant Information First Name Middle Initial Last Name Phone Email Place of Employment Work Phone Number Mother’s Maiden Name Date of Birth Government Issued Identification? SelectDrivers License NumberPassportTreaty Number ID Number Government Issued Identification SelectDrivers License NumberPassportTreaty Number ID Number Alternate or Emergency Contact Contact should be someone other than yourself or the co-applicant such as a relative, friend or neighbour. First Name Last Name Phone Applicant Information Band Contact First and Last Name Phone Email Mailing Address First Nation/City/Town Province Postal Code SaskEnergy Account Number for Billing (11-digits) Site Contact First and Last Name Phone Email Contractor Information Heating Contractor First and Last Name Phone Email Additional Contractor Information Electrical Contractor First and Last Name Phone Email Comments Provide additional details to help with your request Maximum 2000 characters. 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, SaskPower, 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 (a) SaskEnergy's Privacy Policy and SaskEnergy’s Terms & Conditions of Service Schedule and (b) SaskPower’s Privacy Policy and SaskPower’s Terms and Conditions of Service, as applicable. I agree Math question 2 + 2 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. 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