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Progress Energy Customer or Builder Number:
If you have previously applied for service with Progress Energy, you were assigned a nine-digit number specifically for your account
Customer/Builder Name:
Please enter the name of your business
Mailing Address:
Location to which your bill should be mailed
Business Phone:
Number where you can be reached between the hours of 7 a.m. - 5 p.m.
Pager Number:
Number where you can be paged between the hours of 7 a.m. - 5 p.m.
Cell Phone:
Number where you can be reached between the hours of 7 a.m. - 5 p.m.
E-mail Address:
Address where we can send your confirmation between the hours of 7 a.m. - 6 p.m. Monday-Friday. E-mail confirmations are made within 48 hours of service application
Fax Number:
A fax number we can use, if necessary, between the hours of 7 a.m. - 6 p.m. Monday-Friday. We can send a fax response within 48 hours of service applications
Contact Name:
The site manager or superintendent
Form Completed By:
Name of person completing this request for service form
Service Address:
Enter a unique street address (911 address), DO NOT enter a Post Office Box or a route number. If in a subdivision, enter the lot number and subdivision name in the appropriate box
Lot Number:
Number of lot in a development
Subdivision Name:
Name of subdivision
City/State/ZIP:
City, state and ZIP code of the service address
Inside City Limits:
Indicate if the service address is inside or outside the city limits
County:
Name of the county in which the service address is located
Directions to Site:
Directions should be given from a main road or major highway to the service address
Site Visit:
When a Progress Energy representative visits the planned site (e.g., mobile home, area light, house, or etc.) to determine the type of construction needed to adequately provide electrical service to a customer.
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