Construction Application

New Construction

** There seems to be an error, please check the required fields of the form and the captcha at the bottom **

* Required Field

Service Requested


Residential (new):	ElectricNatural Gas
Commercial (new):	ElectricNatural Gas
Subdivision (new):	ElectricNatural Gas
Utility Relocation:	ElectricNatural Gas
Service Removal:	ElectricNatural Gas
Service Conversion:
Lighting:
Irrigation:
Temporary Electric:
(May not be available in all areas)

Customer Information

* Customer/Company Name (Billing Name):

* Primary Phone:	Secondary Phone:

* Mailing Address:	* City:	* State:	* Zip Code:


Service Address:	* City:	State:	Zip Code:

(City or County new address assignment may be necessary)	(Required for routing to local branch)

Did you have previous service with NorthWestern Energy at another address?

Yes

If Yes: Address:


* Email Address:

New Service Information


Building Information:	Square Footage:	ft


Residential:	Commercial:	Subdivision:
House Mobile Home Garage Multiplex Housing (# of units: )	Office Retail Restaurant Other (Describe )	Residential Commercial # of Lots

Residential Load Information:

Voltage:	Primary Heat Source:	Natural Gas Load:
120 / 240 Other:	Electric Natural Gas Other:	btu/hr (total load of all natural gas appliances)
Panel Size: (amps)

Commercial / Irrigation Load Information:


Panel Size: (amps)	Voltage (1-phase):	Voltage (3-phase):
H.P. (irrigation)	1 Ø 120 / 240 240 / 480	3 Ø 120 / 208 120 / 240 240 / 480 277 / 480

Please Note: Customer load sheets and design information is typically required for commercial electric and natural gas service installations. Load sheets may be provided by NorthWestern Energy.

Additional Comments


* Completed By:	Date:

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