Request for Outdoor Lighting Service

Date

MonthDayYear
Date
Related PGE Work Order Number (if available)
City Project Number (If applicable)
Email
example@example.com
Applicant Information
Service Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nearest Cross Street
Legal description - tax lot number (if applicable)
Billing Info
Same as Above

Yes
Name

FirstLast
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Person
Name*

FirstLast
Phone Number*
Email
example@example.com
Type of Project
Check all that apply

Street LightingRoad WideningOverhead to Underground ConversionDeveloper ProjectMuni ProjectRecords Only (Connecting to existing panel)Area Lighting
Choose the Lighting Option that Applies

Option A – PGE Owned & MaintainedOption B – Customer Owned & PGE MaintainedOption C – Customer Owned & CustomerNot Sure
Nearest Pole or Service Point

Fill out if applicable
Map #
Pole/Mount #
Transformer #
Lighting Information

Fill out if applicable
Quantity
Wattage
Light size (W) on existing poles
OverheadUnderground
Requirements for Obtaining Lighting Services

Customer responsibilities (Not all applies to area lighting. Contact Lighting Design Project Manager for more information)
1. Obtain building and electrical permits from the appropriate municipality.
2. Provide the scaled plot or site plan that was submitted for the building permit, including lighting plan.
3. Customer is responsible for tree trimming if outside of OSHA minimum approach distance, contact Project Manager for further information.
4. Before digging a trench, contact the Service and Design Project Manager for design approval.
5. Arrange a preconstruction meeting between the excavation contractor and PGE at the job site.
6. After passing the appropriate municipal electrical inspection, request an inspection by PGE by contacting a Service Coordinator at 800-542-8818 or 503-323-6700 in the Portland metro area. PGE will not energize the service until all inspections have been performed.
If City does not tag panel, then email Lighting Design Project Manager approved inspection form.
Should be Empty:

Applicant Information

Billing Info

Contact Person

Type of Project

Nearest Pole or Service Point

Lighting Information

Requirements for Obtaining Lighting Services