Energy West Development, Inc.

Original Volume No. 1

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Effective Date: 08/10/2007, Docket: RP07-522-000, Status: Effective

First Revised Sheet No. 97 First Revised Sheet No. 97 : Effective

Superseding: Original Sheet No. 97

 

 

SERVICE REQUEST FORM FOR

ENERGY WEST DEVELOPMENT, INC.

 

Any party requesting gas transportation service on Transporter's system must complete a Service

Request Form in keeping with Section 3 of the General Terms and Conditions of Transporter's

currently effective FERC Gas Tariff.

 

Completed Service Request Forms shall be forwarded to:

 

Energy West Development, Inc.

2320 Mountain View Drive

P.O. Box 970

Cody, WY 82414

Attn: Brad Samuels

 

 

No request for service shall be considered until a completed Service Request Form is received

by Transporter.

 

1. Parameters of Service

 

(a) FT or IT (circle one)

 

(b) Primary Receipt Points (FT service only)

 

 

Receipt Point Maximum Input Quantity Maximum and

Minimum Pressure

 

 

_____________ _______________ _______________

 

_____________ ______________ _______________

 

_____________ _______________ _______________

 

_____________ _______________ _______________

 

 

(c) Primary Delivery Points (FT service only)

 

Maximum Equivalent Maximum and

Delivery Points Quantity Minimum Pressure

 

 

_____________ _______________ ________________

 

_____________ _______________ _______________

 

_____________ _______________ _______________

 

______________ _______________ _______________

 

 

(d) Maximum Transportation Quantity: _________________

 

 

2. Date Service is Requested to Commence: _____________________________

 

3. Date Service is Requested to Terminate: ____________________________