Impact Fee Application

Please complete the Impact Fee Form below.

View impact fees (PDF) and check for other fees that may apply.

Please note, if installing or upgrading to a 400 AMP service, we will need to do a load study which may require additional fees.

If you have any questions, please contact the business office at (435) 654-1581.

Company

This field is for validation purposes and should be left unchanged.

Impact Fee Information

Business Name(Required)

Name(Required)

First Middle Initial Last

Business Address(Required)

Street Address City State ZIP Code

Phone Number(Required)

Cell Phone Number(Required)

Email Address(Required)

Service Address

Service Address(Required)

Street Address City State ZIP Code

Subdivision Name(Required)

Lot Number(Required)

What entity issue your permit?(Required)

Mailing Address

Mailing Address(Required)

Same as previous

Street Address City State ZIP Code

Service Size Information

Is this an existing building or new construction?(Required)

Existing Service

New Construction

Existing Amps if Building is Existing(Required)

Desired Final Amperage (Numbers Only i.e. 200)(Required)

Voltage(Required)

Will there be more than 1 meter at this service location?(Required)

Yes

If yes, please explain the meter set up.(Required)

Will there be a pedestal for temporary power installed at this service location? *If yes, a $500 charge will be applied to the account and billed on the next regular billing cycle.(Required)

Yes

Site Plan (PDF, JPG or GIF)(Required)

Hand drawn site plans are acceptable. The location of the power meter is required.

Accepted file types: pdf, jpg, gif, Max. file size: 50 MB.

Amount Due

$ Amount Due(Required)

Use the table below to figure out how much your Impact Fee will be or call (435) 654-1581 for help.