Modify Existing Facilities REquest

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Date*

Owner of Electric Service (Post Project Completion)

Trico Account No.

If no account, please contact our Member Services Department at (520) 744-2944 ext. #2703

Name*

First M.I. Last

Mailing Address

Street Address Address Line 2 City State ZIP Code

Home Phone

Mobile Phone

Fax

Member Email

Project Site Information

Service Address

Street Address Address Line 2 City State ZIP Code

Site Permit or Activity Number*

If not applicable, please enter "N/A".

Agent/Company/Contractor Information

Name

Phone

Type of changes to Existing Service

Repairs

Change out with no increase

Convert existing Trico service from Overhead to Underground

Retire/Remove existing Trico service

Increase load

Relocate existing Trico service (upload site plan)

Upload Site Plans

Drop files here or

Max. file size: 300 MB.

If adding Air Conditioning please specify either the size of the unit(s) in Tons or the lock rotor ampts (L.R.A.)

If replacing a manufactured home please specify the square footage of the new home

Reason for request*

Permit and Inspections (AHJ)

If you are making a request to upgrade or relocate your electric service, it is necessary to inform you that any time an electric service is disconnected for the above reason, you are required to have a permit and inspection from the authority having jurisdiction (Permit exemptions must be proven by the Applicant), before we can reconnect the service.

If you are replacing the mobile/manufactured home on the property, you will also be required to have a permit and inspection from the State of Arizona before we can reconnect the service. (Currently only in Pima Co. & City of Tucson)

You may obtain a permit from one of the following agencies listed here.

Additional information and applicable fees:

Some or all of these may be applicable, depending on your request.

$50.00 Reconnect Fee will be billed on your next bill for any service that is disconnected and reconnected. (non-refundable) (See rule 135 of Trico’s current R,R,&LEP)
A non-refundable contribution advanced may be required by the Applicant prior to Trico’s construction, for any new facilities and/or labor that Trico is required to provide due to your request. All trenching, backfill, and conduit requirements for underground construction shall be furnished by the Customer at no expense to Trico.
Design & Right of Way fee may be required to prepare detailed plans for large alteration or conversion projects. This paid fee will be applied to the final cost (See Rule 201.B of Trico’s RRLEP’s). It is the Customer’s responsibility to obtain all easements that may be required for the conversion or alteration of certain Trico facilities.

Reconnection and Permit information:

Call the local Authority Having Jurisdiction (AHJ) for your electrical permit inspections. (Excluding new meter pole installations, our construction does not have to be completed before you call for your inspections.)
Please contact our construction schedulers at (520 744-2944 ext. 2730 to verify that your clearances have been received and (if applicable) to let us know your trench is backfilled.

Note: that if you coordinated with Trico’s Construction Scheduling Department, the agency having jurisdiction (AHJ) for your permit(s), and your electrician: the reconnect may be completed within the same day. Special charges apply for any work done on overtime and return trips for construction.

Applicant's Printed Name*

Date*

Applicant's Signature*