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Employee Only

New Construction Application

Heart of Texas Electric Cooperative, Inc.

PO Box 357 McGregor, Texas 76657

PO Box 598 Rosebud, Texas 76570

New Construction Application

FAX: 254-840-4250

email - newconstruction@hotec.coop

Load data must be completed as much as possible. Cost of changes due to inadequate or inaccurate information will be borne by the Member.

If you have any questions about this form, please contact the office at 254-840-2871 or 800-840-2957.

Date:

First Name:

Middle Name:

Last Name:

Spouse: First Name:

Spouse: Middle Name:

Spouse: Last Name:

Current Mailing Address:

City:

State:

Zip Code:

Deed Information - Volume:

Deed Information - Page:

Deed Information - Document Number:

Physical or 911 Address of the property to be served - Must include City and Zip Code:

Res. Tel:

Bus. Tel.:

Spouse Bus. Tel.:

Mobile:

Spouse Mobile:

Have you previously received service from HOTEC?:

Yes

No

Do you currently receive service from HOTEC?:

Yes

No

If Yes, is your service request on the same property?:

Yes

No

If Yes, what is your current meter number?:

Are you the owner of the property being served?:

Yes

Rent/Lease

If Rent/Lease - Landlord's Name:

Property Description - Acres:

Property Description - County:

Property Description - # of miles to nearest town:

Select one of the following:

Property Description - Nearest Town:

Property Description - Lot #:

Property Description - Block #:

Property Description - Subdivision:

All meters must have a main disconnect located below or beside them. (See meter spec sheet for details) :

All meters are to be located outside and accessible to cooperative employees.:

REQUESTED LOCATION FOR METER:

Permanently on meter pole set by the Cooperative

Permanently on dwelling or building (Overhead Only)

VOLTAGE REQUIREMENTS:

120/240

120/208

240/480

277/480

PROPOSED SIZE OF MAIN SERVICE ENTRANCE DISCONNECT - SELECT ALL THAT APPLY:

60amp

100 amp

125 amp

150 amp

200amp

Other

Overhead

Underground

Single Phase

Three Phase

IF OVER 200 AMP PROVIDE LOAD BREAKDOWN :

FACILITY TO BE SERVED:

House

Mobile Home

Travel Trailer

Business

Hunting Cabin

Water Well

Other

SQUARE FOOTAGE OF FACILITY IF APPLICABLE:

TYPE OF USE:

STATUS OF FACILITY:

Tree Trimming Required?:

Yes

No

Size of Largest Motor (Horsepower):

Total Connected Horsepower:

WATER SUPPLY:

Drilled Well

Public Water Supply

Name of Water Supply - If Applicable:

TYPE OF WASTEWATER FACILITIES:

Private Septic System - Location must be marked

Sub Division/Public City Sewer

Pool or Hot Tub?:

Yes

No

How many refrigerators?:

How many freezers?:

WHICH METHOD WILL YOU USE FOR WATER HEATING:

Electric

Gas

What size water heater will be used?:

WHICH OF THE BELOW WILL YOU USE?:

Electric Clothes Dryer

Electric Range

Gas Clothes Dryer

Gas Range

WHICH METHOD WILL YOU USE FOR HEATING:

Heat Pump

Central Electric (strip heat)

Electric Portable

Cental Gas

Portable Gas

Fireplace

WHICH METHOD WILL YOU USE FOR AIR CONDITIONING:

Central Electric

Window/Wall

# of Units to be served:

Total Size of all units - (Tons, Kw, or BTU):

Gate access must be provided. Please list gate code here. We will add our lock if gate is chained.:

Do you want a Security Light Installed?:

Yes

No

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