Application for Security Light Service

Application for Security Light Service

Service Address
I/We hereby apply for Security Light Service for the above premises. I/We agree that said Security Light shall be used in conformity with the rate, rules and regulations on file with the Public Service Commission of Wisconsin, or in the office of this Utility. I/We agree to pay for services at the established rates. I/We agree to have the following services installed for a minimum of three (3) years.
Type
If necessary, attach a sketch of the property showing the approximate location(s) of the light(s) to be installed. Request assistance from MPU in advance if needed.
Max. file size: 512 MB.
Customer or Authorized Representative
MM slash DD slash YYYY
Name

 

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