Customer - Gas Service Online Request Form

IMPORTANT - Contractor or Developers before requesting a gas line please provide the following:
 
  • Approved sleeve material at a minimum depth of 2' from finish grade
  •  
  • Sleeve - extending from 1' of meter location to 2' of City Gas line
  •  
  • Customer's piping and its location is compliant with City of Mesa Gas requirements
  • ***The request will be forwarded to the Supervisor for scheduling and the time line for Gas line installation is
     approximately 10 business days (this time frame is an estimate and cannot be guaranteed).

    Customer Contact Info:

    Builder:

    Name:

    Phone Number:

    Email: (enter N/A if not applicable)

    Development Name:

    Subdivision Name:

    Address Information (Lot # / Address):

        

        

        

        

        

    Additional Information: