Meter Base Surge Arrester Order Form |
| Name_____________________ Phone#______________________ |
| Mailing Address___________________________________________ |
| Service Address___________________________________________ |
| Account#__________________ Amount Paid__________________ |
| 200-Amp Service $175.00 |
Mail completed form along with your payment to:
Public Utility District No. 2 of Pacific County, P.O. Box 472, Raymond, WA. 98577