Electric Utility Products

Use this form to provide LWS engineers information regarding your structure and unique lift requirements. LWS can provide a complete computer analysis on your structure(s) and will recommend and supply complete material kits that will: raise, raise and reinforce the ground line, or raise, reinforce and reclassify the poles for each structure. LWS designers may recommend additional X-braces or foundation systems with the material kits.

Fields marked with an asterisk (*) are required.

Customer

Customer name	*
Contact name	*
Site name
Site address
City
State
Phone	*	- - ext.
Fax		- -
Email	*

Structure Type

Single pole

H-Frame

Pole Information

Pole height
Pole class
Species		Douglas-fir Pine Cedar
Pole condition at groundline
Inspection report available?		Yes No

Structure Information

Line voltage		If other
Conductor size
Shield wire size
Span length
Date line built

Lift and Reinforcement Needed


Desired lift (3 to 20 ft)
NOTE: Illustrations show PhaseRaisers rotated 90 degrees on poles for clarity.
	Raise	Raise/Reinforce	Raise/Reinforce/ Reclassify

Additional Comments