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: ____________________________