Name:
*
Address
*
City, State and Zip
*
Please provide a detailed sketch of private underground facilities on your property such as: lawn sprinkler system, septic, well, gas, water, electric, and telephone lines, etc.
Upload detailed sketch of your property here: (Please provide a detailed sketch of private underground facilities on your property such as: lawn sprinkler system, septic, well, gas, water, electric, and telephone lines, etc. )
Although an upload of your sketch is preferred, as an alternate option you can email your sketch to: lightspeed@rucls.net. If choosing this option, please include your name and service address in your email.
Site Address for LightSpeed Service (If different than above):
City, State, Zip
DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
Electronic Signature: Name:
*
Date:
*
Email:
*
Phone:
*
If you are human, leave this field blank.
Submit