{"id":37463,"date":"2022-02-16T10:22:21","date_gmt":"2022-02-16T15:22:21","guid":{"rendered":"https:\/\/ure.com\/?page_id=37463"},"modified":"2022-06-29T09:34:47","modified_gmt":"2022-06-29T13:34:47","slug":"new-commercial-construction","status":"publish","type":"page","link":"https:\/\/ure.com\/services\/electric\/commercial-service\/new-commercial-construction\/","title":{"rendered":"New Commercial Construction"},"content":{"rendered":"<h2>New Commercial Building &#8211; Electric Questionnaire<\/h2>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_safari gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_38' style='display:none'><div id='gf_38' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_38'  action='\/wp-json\/wp\/v2\/pages\/37463#gf_38' data-formid='38' novalidate>\n        <div id='gf_progressbar_wrapper_38' class='gf_progressbar_wrapper'>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_0' style='width:0%; color:#211f1d; background-color:#f5d896;'><span>0%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_38_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><div id='gform_fields_38' class='gform_fields top_label form_sublabel_above description_above'><div id=\"field_38_80\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_80\">This application is for service in our co-op territory <strong>only<\/strong> - Union County, OH, and the immediate vicinity.<\/div><div id=\"field_38_18\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_18\"><h3>Member Information<\/h3><\/div><fieldset id=\"field_38_83\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_83\"><legend class='gfield_label gform-field-label'  >** NOTE TO APPLICANT: If your deed information is not available at this time, you may submit your application to begin the new service process. HOWEVER, this information MUST be submitted to URE and an easement created and signed by the property owner(s)  BEFORE any URE facilities will be installed.**<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_38_83'>\n\t\t\t<div class='gchoice gchoice_38_83_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='I AGREE to provide all necessary documents'  id='choice_38_83_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_83_0' id='label_38_83_0' class='gform-field-label gform-field-label--type-inline'>I AGREE to provide all necessary documents<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_38_6\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_6\"><legend class='gfield_label gform-field-label'  >Please Select<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_38_6'>\n\t\t\t<div class='gchoice gchoice_38_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Sole Proprietorship'  id='choice_38_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_6_0' id='label_38_6_0' class='gform-field-label gform-field-label--type-inline'>Sole Proprietorship<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_38_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Partnership'  id='choice_38_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_6_1' id='label_38_6_1' class='gform-field-label gform-field-label--type-inline'>Partnership<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_38_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Corporation'  id='choice_38_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_6_2' id='label_38_6_2' class='gform-field-label gform-field-label--type-inline'>Corporation<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_38_1\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_1\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_38_1'>\n                            \n                            <span id='input_38_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_38_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_38_1_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_38_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_38_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_38_1_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_38_2\"  class=\"gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_2\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Service Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_38_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_38_2_1_container' >\n                                        <label for='input_38_2_1' id='input_38_2_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_2.1' id='input_38_2_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_38_2_3_container' >\n                                    <label for='input_38_2_3' id='input_38_2_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_2.3' id='input_38_2_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_38_2_4_container' >\n                                        <label for='input_38_2_4' id='input_38_2_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_2.4' id='input_38_2_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' selected='selected'>Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_38_2_5_container' >\n                                    <label for='input_38_2_5' id='input_38_2_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_2.5' id='input_38_2_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_38_2_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_38_4\"  class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_4\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    <div id='input_38_4_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_38_4_copy_values_activated' class='copy_values_activated' value='1' data-source_field_id='2' name='input_4_copy_values_activated'  \/>\n                                        <label for='input_38_4_copy_values_activated' id='input_38_4_copy_values_option_label' class='copy_values_option_label inline gform-field-label gform-field-label--type-inline'>Same as Service Address<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_38_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_38_4_1_container' >\n                                        <label for='input_38_4_1' id='input_38_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_4.1' id='input_38_4_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_38_4_3_container' >\n                                    <label for='input_38_4_3' id='input_38_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_4.3' id='input_38_4_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_38_4_4_container' >\n                                        <label for='input_38_4_4' id='input_38_4_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_4.4' id='input_38_4_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' selected='selected'>Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_38_4_5_container' >\n                                    <label for='input_38_4_5' id='input_38_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_4.5' id='input_38_4_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_38_4_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_38_3\"  class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_3\"><label class='gfield_label gform-field-label' for='input_38_3' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_38_3' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_38_5\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_5\"><label class='gfield_label gform-field-label' for='input_38_5' >Tax ID Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_38_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_38_7\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_7\"><legend class='gfield_label gform-field-label'  >Are you the owner of this business?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_38_7'>\n\t\t\t<div class='gchoice gchoice_38_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Yes'  id='choice_38_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_7_0' id='label_38_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_38_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='No'  id='choice_38_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_7_1' id='label_38_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_38_8\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_8\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Property Owner Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_38_8'>\n                            \n                            <span id='input_38_8_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_38_8_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_8.3' id='input_38_8_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_38_8_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_38_8_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_8.6' id='input_38_8_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_38_9\"  class=\"gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_9\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_38_9' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_38_9_1_container' >\n                                        <label for='input_38_9_1' id='input_38_9_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_9.1' id='input_38_9_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_38_9_3_container' >\n                                    <label for='input_38_9_3' id='input_38_9_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_9.3' id='input_38_9_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_38_9_4_container' >\n                                        <label for='input_38_9_4' id='input_38_9_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_9.4' id='input_38_9_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' selected='selected'>Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_38_9_5_container' >\n                                    <label for='input_38_9_5' id='input_38_9_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_9.5' id='input_38_9_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_9.6' id='input_38_9_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_38_10\"  class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_10\"><label class='gfield_label gform-field-label' for='input_38_10' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_38_10' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_38_11\"  class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_11\"><label class='gfield_label gform-field-label' for='input_38_11' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_11' id='input_38_11' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_38_19\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_19\"><h3>Builder\/Contractor Information<\/h3><\/div><div id=\"field_38_81\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_81\"><label class='gfield_label gform-field-label' for='input_38_81' >Builder\/Contractor Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_38_81' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_38_13\"  class=\"gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_13\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_38_13' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_38_13_1_container' >\n                                        <label for='input_38_13_1' id='input_38_13_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_13.1' id='input_38_13_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_38_13_3_container' >\n                                    <label for='input_38_13_3' id='input_38_13_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_13.3' id='input_38_13_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_38_13_4_container' >\n                                        <label for='input_38_13_4' id='input_38_13_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_13.4' id='input_38_13_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' selected='selected'>Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_38_13_5_container' >\n                                    <label for='input_38_13_5' id='input_38_13_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_13.5' id='input_38_13_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_13.6' id='input_38_13_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_38_14\"  class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_14\"><label class='gfield_label gform-field-label' for='input_38_14' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_38_14' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_38_15\"  class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_15\"><label class='gfield_label gform-field-label' for='input_38_15' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_38_15' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_38_20\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_20\"><h3>Service Type<\/h3><\/div><fieldset id=\"field_38_17\"  class=\"gfield gfield--type-date gfield--input-type-datefield gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_17\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Permanent Service Desired Date (mm\/dd\/yyyy)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_38_17' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_38_17_1_container'>\n                                            <label for='input_38_17_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                            <input type='number'  name='input_17[]' id='input_38_17_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_38_17_2_container'>\n                                            <label for='input_38_17_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                            <input type='number'  name='input_17[]' id='input_38_17_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_38_17_3_container'>\n                                            <label for='input_38_17_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                            <input type='number'  name='input_17[]' id='input_38_17_3' value='2023'   aria-required='true'   placeholder='YYYY' min='1920' max='2025' step='1'\/>\n                                       <\/div>\n                                   <\/div><\/fieldset><fieldset id=\"field_38_16\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_16\"><legend class='gfield_label gform-field-label'  >Service Type Needed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_38_16'>\n\t\t\t<div class='gchoice gchoice_38_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Electric'  id='choice_38_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_16_0' id='label_38_16_0' class='gform-field-label gform-field-label--type-inline'>Electric<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_38_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Gas'  id='choice_38_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_16_1' id='label_38_16_1' class='gform-field-label gform-field-label--type-inline'>Gas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_38_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Both'  id='choice_38_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_16_2' id='label_38_16_2' class='gform-field-label gform-field-label--type-inline'>Both<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_38_77' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_38\").val(\"2\");  jQuery(\"#gform_38\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_38\").val(\"2\");  jQuery(\"#gform_38\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_38_2' class='gform_page' data-js='page-field-id-77' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_38_2' class='gform_fields top_label form_sublabel_above description_above'><div id=\"field_38_21\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_21\"><h3>Electric Load Information<\/h3><\/div><div id=\"field_38_22\"  class=\"gfield gfield--type-text field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_22\"><label class='gfield_label gform-field-label' for='input_38_22' >Main Panel Service Size<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_38_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_23\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_23\"><label class='gfield_label gform-field-label' for='input_38_23' >Amps<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_38_23' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_24\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_24\"><label class='gfield_label gform-field-label' for='input_38_24' >Volts<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_38_24' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_38_25\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_25\"><legend class='gfield_label gform-field-label'  >Please Select<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_38_25'>\n\t\t\t<div class='gchoice gchoice_38_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Single Phase'  id='choice_38_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_25_0' id='label_38_25_0' class='gform-field-label gform-field-label--type-inline'>Single Phase<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_38_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Three Phase'  id='choice_38_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_25_1' id='label_38_25_1' class='gform-field-label gform-field-label--type-inline'>Three Phase<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_38_27\"  class=\"gfield gfield--type-text field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_27\"><label class='gfield_label gform-field-label' for='input_38_27' >Service Conductor Size<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_38_27' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_28\"  class=\"gfield gfield--type-text field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_28\"><label class='gfield_label gform-field-label' for='input_38_28' >Number of Conductors<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_38_28' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_38_29\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_29\"><legend class='gfield_label gform-field-label'  >Type<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_38_29'>\n\t\t\t<div class='gchoice gchoice_38_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Copper'  id='choice_38_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_29_0' id='label_38_29_0' class='gform-field-label gform-field-label--type-inline'>Copper<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_38_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Aluminum'  id='choice_38_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_38_29_1' id='label_38_29_1' class='gform-field-label gform-field-label--type-inline'>Aluminum<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_38_30\"  class=\"gfield gfield--type-text field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_30\"><label class='gfield_label gform-field-label' for='input_38_30' >Building Square Footage<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_38_30' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_31\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_31\"><label class='gfield_label gform-field-label' for='input_38_31' >Temp Service Size Required - Amps<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_38_31' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_33\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_33\"><label class='gfield_label gform-field-label' for='input_38_33' >Phase<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_38_33' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_34\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_34\"><h4>Lighting & Outlets<\/h4><\/div><div id=\"field_38_35\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_35\"><label class='gfield_label gform-field-label' for='input_38_35' >New Kilowatt (kW) Load<\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_38_35' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_36\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_36\"><label class='gfield_label gform-field-label' for='input_38_36' >Existing kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_38_36' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_46\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_46\"><h4>Air Conditioning<\/h4><\/div><div id=\"field_38_38\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_38\"><label class='gfield_label gform-field-label' for='input_38_38' >New kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_38_38' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_39\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_39\"><label class='gfield_label gform-field-label' for='input_38_39' >Existing kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_38_39' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_47\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_47\"><h4>Heating<\/h4><\/div><div id=\"field_38_44\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_44\"><label class='gfield_label gform-field-label' for='input_38_44' >New kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_38_44' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_45\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_45\"><label class='gfield_label gform-field-label' for='input_38_45' >Existing kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_38_45' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_48\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_48\"><h4>Water Heating<\/h4><\/div><div id=\"field_38_42\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_42\"><label class='gfield_label gform-field-label' for='input_38_42' >New kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_38_42' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_43\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_43\"><label class='gfield_label gform-field-label' for='input_38_43' >Existing kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_38_43' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_49\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_49\"><h4>Motors<\/h4><\/div><div id=\"field_38_40\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_40\"><label class='gfield_label gform-field-label' for='input_38_40' >New kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_38_40' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_41\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_41\"><label class='gfield_label gform-field-label' for='input_38_41' >Existing kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_38_41' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_52\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_52\"><h4>Dry Type Transformers<\/h4><\/div><div id=\"field_38_50\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_50\"><label class='gfield_label gform-field-label' for='input_38_50' >New kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_38_50' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_51\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_51\"><label class='gfield_label gform-field-label' for='input_38_51' >Existing kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_38_51' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_55\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_55\"><h4>Other<\/h4><\/div><div id=\"field_38_53\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_53\"><label class='gfield_label gform-field-label' for='input_38_53' >New kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_38_53' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_54\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_54\"><label class='gfield_label gform-field-label' for='input_38_54' >Existing kW Load<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_38_54' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_56\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_56\"><h4>Back Up Generator<\/h4><\/div><div id=\"field_38_57\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_57\"><label class='gfield_label gform-field-label' for='input_38_57' >kW<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_38_57' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_58\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_58\"><label class='gfield_label gform-field-label' for='input_38_58' >Fuel Source<\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_38_58' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_74\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_74\"><h4>Motor Load Details<\/h4><\/div><fieldset id=\"field_38_59\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_59\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >All Motors Over 5 Horsepower<\/legend><div class='gfield_description' id='gfield_description_38_59'>(Click the + button to add a new row)<\/div><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Size<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Voltage<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">1-Phase Fla<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">3 Phase Fla<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Type of Start<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_59_cell1 gform-grid-col' data-label='Size'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_59\" aria-label='Size, Row 1' data-aria-label-template='Size, Row {0}' type='text' name='input_59[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_59_cell2 gform-grid-col' data-label='Voltage'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_59\" aria-label='Voltage, Row 1' data-aria-label-template='Voltage, Row {0}' type='text' name='input_59[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_59_cell3 gform-grid-col' data-label='1-Phase Fla'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_59\" aria-label='1-Phase Fla, Row 1' data-aria-label-template='1-Phase Fla, Row {0}' type='text' name='input_59[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_59_cell4 gform-grid-col' data-label='3 Phase Fla'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_59\" aria-label='3 Phase Fla, Row 1' data-aria-label-template='3 Phase Fla, Row {0}' type='text' name='input_59[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_59_cell5 gform-grid-col' data-label='Type of Start'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_59\" aria-label='Type of Start, Row 1' data-aria-label-template='Type of Start, Row {0}' type='text' name='input_59[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_38_75\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_75\"><h4>Miscellaneous Equipment<\/h4><\/div><fieldset id=\"field_38_60\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_60\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >All Loads Over 5 kW<\/legend><div class='gfield_description' id='gfield_description_38_60'>(Click the + button to add a new row)<\/div><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Description<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Voltage<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">kW<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">1 Phase Fla<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">3 Phase Fla<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_60_cell1 gform-grid-col' data-label='Description'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_60\" aria-label='Description, Row 1' data-aria-label-template='Description, Row {0}' type='text' name='input_60[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_60_cell2 gform-grid-col' data-label='Voltage'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_60\" aria-label='Voltage, Row 1' data-aria-label-template='Voltage, Row {0}' type='text' name='input_60[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_60_cell3 gform-grid-col' data-label='kW'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_60\" aria-label='kW, Row 1' data-aria-label-template='kW, Row {0}' type='text' name='input_60[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_60_cell4 gform-grid-col' data-label='1 Phase Fla'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_60\" aria-label='1 Phase Fla, Row 1' data-aria-label-template='1 Phase Fla, Row {0}' type='text' name='input_60[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_60_cell5 gform-grid-col' data-label='3 Phase Fla'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_60\" aria-label='3 Phase Fla, Row 1' data-aria-label-template='3 Phase Fla, Row {0}' type='text' name='input_60[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_38_61\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_61\"><h3>Gas Load Information<\/h3><\/div><fieldset id=\"field_38_62\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_62\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Gas Service to be Used for:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_38_62'><div class='gchoice gchoice_38_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Space Heaters'  id='choice_38_62_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_62_1' id='label_38_62_1' class='gform-field-label gform-field-label--type-inline'>Space Heaters<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_38_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='Water Heating'  id='choice_38_62_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_62_2' id='label_38_62_2' class='gform-field-label gform-field-label--type-inline'>Water Heating<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_38_62_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.3' type='checkbox'  value='Food Prep'  id='choice_38_62_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_62_3' id='label_38_62_3' class='gform-field-label gform-field-label--type-inline'>Food Prep<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_38_62_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.4' type='checkbox'  value='Manufacturing'  id='choice_38_62_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_62_4' id='label_38_62_4' class='gform-field-label gform-field-label--type-inline'>Manufacturing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_38_62_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.5' type='checkbox'  value='Other'  id='choice_38_62_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_62_5' id='label_38_62_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_38_87\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_87\"><label class='gfield_label gform-field-label' for='input_38_87' >List other Gas services used:<\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_38_87' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_63\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_63\"><label class='gfield_label gform-field-label' for='input_38_63' >Total Load Given in Standard Cubic Feet per Hour (SCFH)<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_38_63' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_64\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_64\"><label class='gfield_label gform-field-label' for='input_38_64' >or Total Load Given in BTUH<\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_38_64' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_85\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_85\"><label class='gfield_label gform-field-label' for='input_38_85' >Total Load Given in Standard Cubic Feet per Hour (SCFH) or<\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_38_85' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_84\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_84\"><label class='gfield_label gform-field-label' for='input_38_84' >Total Load Given in Standard Cubic Feet per Hour (SCFH) or<\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_38_84' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_65\"  class=\"gfield gfield--type-text field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_65\"><label class='gfield_label gform-field-label' for='input_38_65' >Delivery Pressure Required<\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_38_65' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_38_67\"  class=\"gfield gfield--type-list field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_67\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Appliance or Gas Burning Equipment Information<\/legend><div class='gfield_description' id='gfield_description_38_67'>(Click the + button to add a new row)<\/div><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Number of Units<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Usage (SCFH)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Equipment Type<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">BTU Input Rating<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_67_cell1 gform-grid-col' data-label='Number of Units'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_67\" aria-label='Number of Units, Row 1' data-aria-label-template='Number of Units, Row {0}' type='text' name='input_67[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_67_cell2 gform-grid-col' data-label='Usage (SCFH)'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_67\" aria-label='Usage (SCFH), Row 1' data-aria-label-template='Usage (SCFH), Row {0}' type='text' name='input_67[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_67_cell3 gform-grid-col' data-label='Equipment Type'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_67\" aria-label='Equipment Type, Row 1' data-aria-label-template='Equipment Type, Row {0}' type='text' name='input_67[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_67_cell4 gform-grid-col' data-label='BTU Input Rating'><input aria-invalid='false'  aria-describedby=\"gfield_description_38_67\" aria-label='BTU Input Rating, Row 1' data-aria-label-template='BTU Input Rating, Row {0}' type='text' name='input_67[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_38_78' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_38\").val(\"1\");  jQuery(\"#gform_38\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_38\").val(\"1\");  jQuery(\"#gform_38\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_38_78' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_38\").val(\"3\");  jQuery(\"#gform_38\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_38\").val(\"3\");  jQuery(\"#gform_38\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_38_3' class='gform_page' data-js='page-field-id-78' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_38_3' class='gform_fields top_label form_sublabel_above description_above'><div id=\"field_38_79\"  class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_79\"><label class='gfield_label gform-field-label' for='gform_browse_button_38_79' >Load Forms or Construction Plans<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_38_79' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_38_79&quot;,&quot;container&quot;:&quot;gform_multifile_upload_38_79&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_38_79&quot;,&quot;filelist&quot;:&quot;gform_preview_38_79&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/ure.com\\\/?gf_page=6856a41a165b33b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/ure.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/ure.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:38,&quot;field_id&quot;:79},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_38_79&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_38_79' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_38_79' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_38_79\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_38_79'>Max. file size: 512 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_38_79'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_38_79' class='ginput_preview_list'><\/div><\/div><div id=\"field_38_69\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_69\"><h3>Things to Provide or Do Before Site Meeting<\/h3>\n<ul>\n \t<li>Complete a member application (if not already a member) for electric\/natural gas service. This application must be signed and returned to URE.<\/li>\n \t<li>Review the New Commercial Construction Questionnaire. Be prepared to provide the information to the URE Engineer. You may submit the completed form prior to the meeting or complete it during the meeting.<\/li>\n \t<li> Submit a complete set of final state\/county-approved site plans with service entrance and meter locations marked. URE needs one set of plans to be submitted in PDF format and one set of plans to be submitted in Auto-CAD.<\/li>\n \t<li>Provide a copy of the written legal description of the site and property as well as the survey map.<\/li>\n \t<li>Stake building corners and lot lines.<\/li>\n<\/ul><\/div><div id=\"field_38_76\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_76\"><h3>Member Signature & Consent<\/h3><\/div><fieldset id=\"field_38_72\"  class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_above gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_72\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Member Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_72.1' id='input_38_72_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_38_72\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_38_72_1' >I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today\u2019s date and authorized by me as if I had signed my signature.<\/label><input type='hidden' name='input_72.2' value='I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today\u2019s date and authorized by me as if I had signed my signature.' class='gform_hidden' \/><input type='hidden' name='input_72.3' value='47' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_38_72'><span style=\"font-size: 140%;\">The undersigned (hereafter called Applicant) hereby apply for membership in the Union Rural Electric Cooperative, Inc. and\/or its subsidiary or affiliated companies (hereafter known as Cooperative) and agrees to be bound by the Cooperative\u2019s <a href=\"https:\/\/ure.com\/terms-conditions-for-supplying-electric-service\/\" target=\"_blank\" rel=\"noopener\">Terms and Conditions for Supplying Electric Service<\/a> and <a href=\"https:\/\/ure.com\/terms-conditions-for-supplying-natural-gas-service\/\" target=\"_blank\" rel=\"noopener\">Terms and Conditions for Supplying Natural Gas Service<\/a> and the following:<br \/>\n<ol><br \/>\n \t<li>Applicant will pay for all services at prices set by the Cooperative for services on or before the due date specified on the Applicant\u2019s bill. Failure to do so may result in the Applicant being charged late payment penalties or result in discontinuance of service. Re-establishment of the Applicant\u2019s service may require that all unpaid balances be paid in full along with a security deposit and other fees.<\/li><br \/>\n \t<li>Applicant designates the Cooperative as the Applicant\u2019s agent for the purpose of entering into third party agreements to secure electric and\/or natural gas supply, transmission and distribution services.<\/li><br \/>\n \t<li>Applicant agrees to be bound to and comply with the <a href=\"https:\/\/ure.com\/code-of-regulations-articles-of-incorporation\/\" target=\"_blank\" rel=\"noopener\">Code of Regulations and Articles of Incorporation<\/a> as set and revised by the Cooperative Board of Trustees.<\/li><br \/>\n \t<li>Applicant agrees to maintain and properly use customer owned facilities and any apparatus connected to the Cooperative\u2019s system, and agrees to identify and hold harmless the Cooperative against any injury, loss, or damage as a result of the use or misuse of customer\u2019s facilities or apparatus. In no event shall the responsibility of the Cooperative extend beyond the point at which its service facilities are attached to the customer structure(s) on the premises to be served by the Cooperative.<\/li><br \/>\n \t<li>Applicant grants to the Cooperative the right to enter upon and an easement on, over, across, under and through any part of the premises to be served by the Cooperative to construct, install, operate, reconstruct, rephase, relocate, maintain, repair, and remove any part of the Cooperative facilities and\/or communication systems for the purpose of providing all services applied for and to do all things incident or necessary thereto, including without limitation cutting, removal and controlling the growth of the vegetation that may interfere with or threaten to endanger the operation and maintenance of said system.<\/li><br \/>\n \t<li>Natural gas Applicants hereby acknowledge receipt of <a href=\"https:\/\/ure.com\/terms-conditions-for-supplying-natural-gas-service\/\" target=\"_blank\" rel=\"noopener\">Terms and Conditions for Supplying Natural Gas Service<\/a><\/li><br \/>\n \t<li>As part of your cooperative membership, you will receive a subscription to Ohio Cooperative Living magazine.<\/li><br \/>\n \t<li>Applicant acknowledges and agrees that the Cooperative may review the Applicant\u2019s credit history as a result of this application.<\/li><br \/>\n<\/ol><\/span><\/div><\/fieldset><div id=\"field_38_73\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_73\"><label class='gfield_label gform-field-label' for='input_38_73' >Member Electronic Signature (Full Name)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_38_73' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_38_88\"  class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_88\"><label class='gfield_label gform-field-label' for='input_38_88' >Comments<\/label><div class='gfield_description' id='gfield_description_38_88'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_88' id='input_38_88' type='text' value='' autocomplete='new-password'\/><\/div><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_38' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_38\"]){return false;}  if( !jQuery(\"#gform_38\")[0].checkValidity || jQuery(\"#gform_38\")[0].checkValidity()){window[\"gf_submitting_38\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_38\"]){return false;} if( !jQuery(\"#gform_38\")[0].checkValidity || jQuery(\"#gform_38\")[0].checkValidity()){window[\"gf_submitting_38\"]=true;}  jQuery(\"#gform_38\").trigger(\"submit\",[true]); 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