Load Data Sheet
Please complete the form as accurately as possible to ensure prompt and correct service. Contact the Member Services Department as soon as possible to apply for service.
Service Information
*Member (Business Name):
*Service Address:
*New or Existing Facility/Service:
Load Breakdown
All Load Data is required. If a kW field is not applicable then enter 0 (zero).
Lighting Interior (kW):
Lighting Exterior (kW):
Heat Pump (kW): TonsPhase:
Strip - Resistance Heat (kW):Phase:
Air Conditioning (kW):Phase:
Air Handling (kW):Phase:
Cooking (kW):Phase:
Water Heating (kW):Phase:
Miscellaneous Loads (kW):Phase:
Largest Motor (kW): HorsepowerPhase:
Service Characteristics
*Total Square Feet of Building:
Of the total square feet, how many are electrically heated?
*Electrically Heated Square Feet:
*Desired Service Type:
*Preferred Meter Location:
*Conductor Size:
*Conductor Type:
*Number of Runs:
*Conduit Size:
*Expected Date of Temporary Service:    (MM/DD/YYYY)
*Expected Date of Permanent Service:    (MM/DD/YYYY)
*Desired Service Characteristics:
*Wire Configuration:
*Main Breaker Rated (Amps):
*Number of Meters Desired:
*Service Entrance / Meter Amps:
Contact Information
Point of Contact
*Company Name:
*Contact Person:
*Contact Email Address:
*Phone Number:
Electrical Contractor
Company Name:
Phone Number:
General Contractor
Company Name:
Phone Number:
Property Owner
Company Name:
Contact Person:
Phone Number:
Company Name:
Phone Number:
Project Engineer
Company Name:
Phone Number:
Please attach a copy of the site plan showing the desired cut-in location and riser diagrams.
Site Plan:

Uploading ...
kb   of   kb %