Impact Fee Application - Heber Light & Power

Impact Fee Application Form

* Indicates a Required Field *
If you have any questions please contact the
business office at 435-654-1581. Thank You

Please Complete this Impact Fee Form.

Is this an existing building or new construction?

Existing Service New Construction

Impact Fee Information:

** IMPACT FEE INVOICES MUST BE PAID WITHIN 5 BUSINESS DAYS TO AVOID A LATE FEE **

Business Name

First Name

Middle Initial

Last Name

Phone Number

Cell Phone Number

Email Address

Service Address:

Service Address

City

Zip Code

Subdivision Name

Lot Number

What Entity Issued Your Permit?

Mailing Address:

Mailing Address

City

Zip Code

Service Size Information:

Existing Amps if Building is Existing

Desired Final Amperage (Numbers Only i.e. 200)

Voltage

Will there be more than one meter at this service location?

Yes No

If yes, please explain the meter set up.

** Will there be a pedestal for a temporary meter installed at this service location?
If Yes, a $500 charge will be applied to the account and billed on the next regular billing cycle. **

Yes No

Site Plan (PDF, JPG or GIF) Hand drawn site plans are acceptable. The location of the power meter is required.

Amount Due:

$Amount Due - (Use the table below to figure out how much your Impact Fee will be or call 435-654-1581 for help)

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Commercial Electric Service Application Form

* Indicates a Required Field *
If you are moving out of the Heber Light & Power Service area you must contact the
business office at 435-654-1581. Thank You

Are you a previous HL&P Customer?

Yes No

If yes, please provide your previous address.

Previous Address:

Previous City:

Is this an existing building or new construction?

Existing Service New Construction

Customer Information:

Business Name

Tax ID Number

First Name:

Middle Initial:

Last Name:

Home Phone Number:

Cell Phone Number:

Email Address:

Please supply a minimum of two (2) vaid forms of identification:

Last 4 Digits of Social Security #:

Drivers License/ID #

Passport #:

Residence Information:

Service Start Date:

Own/Rent:

Own Rent

Address:

City:

Zip Code:

Mailing Address - (If different than Service Address):

Mailing Address:

Mailing Address - Apt/Suite#:

Mailing City:

Mailing ZIP code:

Responsible Party

First Name:

Middle Initial:

Last Name:

Phone Number:

Please supply a minimum of two (2) vaid forms of identification:

Last 4 Digits of Social Security #:

Drivers License/ID #

Passport #:

If Renting the following information is required:

Landlord's Name

Landlord's Phone:

Agreement Information:

May we contact you via email and/or text message?

Yes No

** A processing fee of $20.00 will be applied to the first billing. **
I understand by clicking the 'Agreement Box' that I agree to be bound by Heber Light & Power's Company Rules and Regulations. Said rules and regulations can be viewed at: Customer Service Agreement Policy

Agreement Box

Residential Electric Service Application Form

* Indicates a Required Field *
If you are moving out of the Heber Light & Power Service area you must contact the
business office at 435-654-1581. Thank You

Are you a previous HL&P Customer?

Yes No

If yes, please provide your previous address.

Previous Address:

Previous City:

Is this an existing building or new construction?

Existing Service New Construction

Customer Information:

First Name:

Middle Initial:

Last Name:

Home Phone Number:

Cell Phone Number:

Email Address:

Please supply a minimum of two (2) vaid forms of identification:

Last 4 Digits of Social Security #:

Drivers License/ID #

Passport #:

Employer Information:

Employer:

Employer Address:

Employer City:

Residence Information:

Service Start Date:

Own/Rent:

Own Rent

Service Address:

City:

Zip Code:

Mailing Address - (If different than Service Address):

Mailing Address:

Mailing Address - Apt/Suite#:

Mailing City:

Mailing ZIP code:

Applicant's Spouse/Roommate Information:

First Name:

Middle Initial:

Last Name:

Phone Number:

Employer:

Please supply a minimum of two (2) vaid forms of identification:

Last 4 Digits of Social Security #:

Drivers License/ID #

Passport #:

Landlord's Name

Landlord's Phone:

Agreement Information:

May we contact you via email and/or text message?

Yes No

** A processing fee of $20.00 will be applied to the first billing. **
I understand by clicking the 'Agreement Box' that I agree to be bound by Heber Light & Power's Company Rules and Regulations. Said rules and regulations can be viewed at: Customer Service Agreement Policy

Agreement Box