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Application for Connection of Electricity Supply (New Installation) or Substantial Addition to Existing Load

Application for Connection of Electricity Supply

Applicant's Name:*

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If Company, Business or Corporate Body, name of officer submitting application is required.
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Daytime Phone:

Mobile:

Fax:

Postal Address of Applicant:

PostCode:

Location of Proposed Installation:

Lot No:

Street:

Town:

Postcode:

Type of Installation:

Domestic

Commercial

Industrial

Other - Please Specify

Number of Master Meters Required:

Maximum Demand - proposed:

Rating of Largest Motor:

Rating of largest Protective Device:

Unless written approval is sought from Pilbara Iron the installations maximum demand and inrush current characteristics shall comply with the relevant sections of the WA Electrical Requirements. SIGNIFICANT EXPENDITURE SHOULD NOT BE INCURRED UNTIL YOU ARE IN RECEIPT OF A WRITTEN RESPONSE TO THIS APPLICATION.

Employee Code of Applicant:

Date:

* Required Field