Choose Application TYpe
Please choose the type of application.
Applicant Information
Applicant Name
Applicant Address
Applicant Phone Primary
Applicant Phone Secondary
Applicant Membership Confirmation
Is the applicant a Mountain Parks Electric, Inc. Member?
Is the applicant a Mountain Parks Electric, Inc. Member?
Other Contact Info
Electrician Info
Electrician Name
Contractor Info
Contractor Name
Site Location
Site Location, Within Town Limits
Is the building location within a town limit?
Service Requested
Indicate the amperage, the size of the main disconnect/breaker rating
Secondary Voltage
(fed from 3-phase transformer bank) maximum 200 amp
Enter the distance from the transformer to the meter, if known
Meter Location
(shall be on gabled end front 1/3 of building)
(must have approval by area superintendent)
Do you require temporary construction service?
Are all property corners clearly staked and labeled at the site?
Is the address posted at the site?
Enter the distance from the transformer to the meter, if known
Enter the distance from the transformer to the meter, if known
Electric Load Information
Type of Heat
Type of Water Heater

Attach a copy of the site sketch.
One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
  • Please indicate on the site sketch the location of the property pins (REMINDER: If the street address is not posted, if property corners are not clearly staked and labeled at the site, or if the site sketch does not reflect the lot markings when the staking engineer visits the property, this may delay the process). Please sketch the structure site to include gables on building, roads, driveways, sidewalks and proposed meter location(s).
  • I certify that the attached information is correct. I agree that all electrical construction on the attached project will meet MPEI requirements as specified in the Electric Service Construction Standards.
  • I agree to pay the non-refundable $600.00 engineering deposit which will be applied toward the cost of the job, site visit, staking, design, contracts, etc. for a period fo one year from the date of receipt.
  • Processing the application will not begin until all required information is provided.
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