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<br />EXHIBIT "B" <br /> <br />REQUEST FOR STREET LIGHTING SERVICE <br /> <br />Actions: <br /> <br />A -Addition <br /> <br />R -Removal <br /> <br />RL-Relocation <br /> <br />S-Service (Schedule D - Dilly) <br /> <br /> Order required from Identifying <br /> CR to Energize - Rate Luminairel Location (Address, etc.) <br /> Action YeslNo Quantity Wattage Lamp Type Schedule** Pole Type (See Attached Sketch) <br />ESID I Premise (For New <br /> ESID Only) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Comments: <br /> <br />**Unmetered Facilities -- Schedule A (Group 1 or 2), B (Group 1 or 2), C (Group 1 or 2), or D; R (Rectangular); P (post-Top); H (Historical) ; <br />CLOSEDIREMOVE ONLY I (Incandescent); W (Wallpack Mercury Vapor); <br />Metered Facilities - Non-Company-Owned; or <br />Metered Facilities - Company-Owned (closed to new installations) <br /> <br />1. <br /> <br />Customer or Developer agrees to pay Company contribution-in-aid-of-construction in the amount of $ <br /> <br />2. <br /> <br />If Company is prevented from installing,the requested facilities by any event of force majuere as defined in Section 5.2.4 of Company's Tariff for Retail Delivery <br />Service, Company will return to Customer or Developer as appropriate, without interest, the entire amount of Customer or Developer's contribution-in-aid-of- <br />construction payment, thereby terminating this supplement and Company's obligation to provide facilities requested herein. <br /> <br />I WR Number(s): <br /> <br />Date: <br />