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Builder Application

  1. office use only

  2. office use only

  3. Ebill Authorization: *
  4. Natural Gas Equipment being installed:*
  5. DELIVERY PRESSURE NEEDED:
  6. The Department of Transportation (DOT), under Title 49 Part 192.381, enacted new standards for residential gas service line installation to include and Excess Flow Valve on each new residence at services operating at pressures over 10 PSI. The objective of the Excess Flow Valve, also known as the EFV, is to reduce gas flow at such times the service line is damaged and the accidental release of natural gas is imminent.

    I certify that all of the above information is complete and accurate. I further understand that providing false information may result in denial or termination of natural gas service. I hereby give my permission to examine my past payment history if deemed necessary by Fountain Inn Natural Gas System.
  7. Leave This Blank:

  8. This field is not part of the form submission.