(602)759-8340
Natural Gas & Propane Piping • Gas Line Leak Repair
Master Gas Meters • Interior & Exterior Gas Plumbing • Phoenix, Arizona

Gas Installation Form

Installation Request Form

Ready to have you project completed? Fill out this form to provide RP with the details for your project and we will get back with you immediately.


    CONTACT INFORMATION


    NATURAL GAS INSTALLATION

    YesNo

    YesNo

    YesNo


    SOUTHWEST GAS TRENCH AND SLEEVE INFORMATION

    ** SWG has requested that you provide a trench and sleeve for new natural gas to your home or place of business

    CommercialResidential


    PROPANE INSTALLATION

    YesNo

    YesNo

    (2) 231202505001000

    YesNo

    Above GroundUnderground

    YesNo

    YesNo


    PERMIT INFORMATION

    RP GasBuilder


    LAND INFORMATION

    YesNo

    YesNo

    YesNo


    APPLIANCE INFORMATION

    Install the following footage of PE PIPE to appliances (please enter the footage for each desired size)


    Install RISERS to the following appliances (please enter the quantity for each)


    OTHER

    YesNo

    YesNo

    **Required for rings larger than 24" and fire bars longer than 48"

    YesNo


    YesNo

    If yes, please enter the quantity of each desired size:

    FIRE RINGS

    FIREBARS


    *NOTE: Please inform your customers that Southwest gas will be responsible for the gas meter tie into the riser.

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