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Service Facility Application Agreement

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Shaded boxes are for Company use only


If the city you need isn’t listed, complete the application for the closest city.



New or Existing Building?


Building Type?


Residence Type?











1. Service installation by customer/electrician is subject to applicable income tax gross-up charges.

Applicant shall locate and mark all privately owned underground facilities and systems (including but not limited to water services, culverts, irrigation systems, drain pipes, septic lines, and underground wiring) to conform with the current version of Recommended Guidelines for Underground Utilities and the uniform color code established by the American Public Works Association, prior to MidAmerican Energy Company’s construction. The undersigned has read the back and front of this application and requests MidAmerican Energy to install and/or repair gas and/or electric facilities on the property listed above. The applicant agrees to comply with all applicable codes, rules, regulations, and MidAmerican Energy’s tariffs, electric service manual, and gas service manual as filed with the appropriate state utilities board or commission, as required. Failure to comply may result in charges.


An applicant or applicant agent name is required