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.

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2019 RP Gas Truck

    CONTACT INFORMATION

    Builder/Customer requesting work (required):

    Scheduling contact name (required):

    Scheduling contact phone (required):

    Scheduling contact email (required):

    Today's Date:

    Installation date requested:

    Site address (Ave, St, Ln, etc):

    Site city and zipcode:


    NATURAL GAS INSTALLATION

    Install required? :
    YesNo

    Meter tie in required? (city of mesa only):
    YesNo

    Will a regulator be required at the Meter (2lb system)? :
    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

    Is this a residential or commercial property?
    CommercialResidential

    Footage of SWG trench and sleeve required from property line to new gas meter location:


    PROPANE INSTALLATION

    Install required? :
    YesNo

    Is RP Gas providing the propane tank? :
    YesNo

    What size gallon tank? :
    (2) 231202505001000

    Tank placement noted on plan? :
    YesNo

    Tank installation type:
    Above GroundUnderground

    High pressure system (a regulator is required at each appliance)? :
    YesNo

    Low pressure system (one regulator at the tank)? :
    YesNo


    PERMIT INFORMATION

    Who will provide the permit? :
    RP GasBuilder

    Please upload the copy of your permit (.PDF preferred/max size 2mb):

    If RP Gas is responsible for the permit please upload your site plan (.PDF preferred/max size 2mb):


    LAND INFORMATION

    Hand dig required? :
    YesNo

    If yes, please enter the footage:

    Will any tunneling or boring be needed? :
    YesNo

    If yes, please enter the footage:

    Rocky soil conditions or hard dig? :
    YesNo


    APPLIANCE INFORMATION

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

    2” PE (footage):

    1 1/2” PE (footage):

    1 1/4” PE (footage):

    1” PE (footage):

    3/4” PE (footage):



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

    Heater 250k or 400k (qty):

    BBQ (qty):

    Firepit (qty):

    Fireplace (qty):

    Firebar (qty):

    TIKI's (qty):


    Custom Fire Feature (qty):

    Other appliances (qty):


    OTHER

    Standard Key valve installation? :
    YesNo

    If yes, please enter the qty:

    High Capacity Key valve installation? :

    YesNo

    If yes, please enter the qty:

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

    BBQ hookup? :
    YesNo

    If yes, please enter the qty:



    FIRE FEATURES

    Fire ring or firebar installation? :
    YesNo

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

    FIRE RINGS
    12" ring (qty):

    18" ring (qty):

    24" ring (qty):

    30" ring (qty):

    36" ring (qty):

    FIREBARS

    24" bar (qty):

    36" bar (qty):

    48" bar (qty):

    60" bar (qty):

    72" bar (qty):

    84" bar (qty):

    Custom Size (qty):



    Please upload any job photos or plans you have (max image size: 2mb):

    Special request or instructions:

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

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