Washington Gas | New Natural Gas Homes for Builders: Builder Briefs

Washington Gas | New Natural Gas Homes for Builders

7/29/2010

By filling out the following information, you can submit your request electronically. In addition, you have the option to attach your approved project plans and list of unit addresses and send them electronically or via regular mail...it's your choice. Approved project plans must be submitted in Autocad release 14 or higher.

*Required fields

Please provide the following information:

* First Name

* Last Name

* Job Title

* Company

* Address

Address (cont.)

* City

* State *Zip

* Work Phone

FAX

* E-mail

*Please select one:

Owner
Builder
Developer
Construction Mgmt./ Engineer/ Architect

* Name of the Project

* Location of Project (Address/Location)

Project Location:

* Unit Addresses (Please select one)

Attached Address List:

(Click Browse and select the file you want to attach)

Mailed On:

Mail to:
Washington Gas
6801 Industrial Rd.
Springfield, VA 22151
Attn: New Construction Projects

Click here to find the Sales Representative for your area.

Number and Type of Units

*First Unit No. of Units Sq. Footage

Second Unit No. of Units Sq. Footage

Third Unit No. of Units Sq. Footage

Fourth Unit No. of Units Sq. Footage

*Timeline for Project Development

Grading

Date Needed

Sewer/Water

Date Needed

Foundations

Date Needed

Gas Crossings

Date Needed

* Gas Service Required to First Home

* Gas Pressure Required

Standard
1/5 lb.
High Pressure - 2 lbs.

* Approved Project Plans (Please select one)

Attached Project Plans:

(Please attach your approved project plans sent in AutoCad Release 14 or higher)

(Click Browse and select the file you want to attach)

.zip .dwg .dxf

(Select the type of file you will be uploading)

Mailed On:

Appliance Information

Heating Choice (Choose Type)
* Appliance Type	BTUs	Standard or Optional?
		Standard Optional
First Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Second Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Third Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Fourth Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Fifth Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Sixth Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Seventh Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Eighth Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Ninth Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Tenth Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Eleventh Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional
Twelfth Appliance
Appliance Type	BTUs	Standard or Optional?
		Standard Optional

Additional Appliances Required
	Check here to be contacted by a Washington Gas representative about additional appliances you may require. Should you have questions about this form or have problems submitting it, please contact your sales rep.

You will receive a confirmation email from your sales rep when your documents are received. We will be in touch soon!

You may submit your gas service request information in one of three ways:

1.You can print out this form and fax it to Washington Gas at 703.750.4546.

2.You can print out the form and mail it to Washington Gas at 6801 Industrial Road, Springfield, VA 22151, Attention: New Construction Projects.

3.You can submit the form electronically.

IF YOU CHOOSE TO SUBMIT THIS FORM ELECTRONICALLY, PLEASE NOTE THAT IT IS NOT SECURE.

IF YOU WISH TO PROCEED, CHECK THIS BOX PRIOR TO PRESSING THE SUBMIT BUTTON, TO CERTIFY YOUR UNDERSTANDING THAT THIS TRANSMISSION WILL NOT BE SECURE.