Elmhurst Mutual Power & Light > Work Request Form

Work Request Form

Elmhurst's Work Order Number(Required)

Has the invoice been paid?(Required)

Yes

Please pay the invoice before completing the form.

Type:(Required)

Permanent

Temporary

Address(Required)

Street Address Address Line 2 City State ZIP Code

Lot Number

L&I Permit #(Required)

On Site Contact(Required)

Email(Required)

Please Share Any Comments You Have:

L&I Sticker
Rope in Pipe
Picture of SSB
Address clearly labeled (If temp, the address on the temp is visible from the street. If house, confirm house address is clearly labelled and is visible from the street)

Attach pictures:(Required)

Drop files here or

Max. file size: 20 MB.

Include Drawings

Drop files here or

Max. file size: 256 MB.