(602)759-8340
Natural Gas & Propane Piping • Gas 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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