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Builders & Contractors / Permanent Service:New Business
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Please use this form to request service for a newly-constructed business facility.

Also see information on our Requirements For Electrical Service.

Customer Information
E-mail address:
Our Privacy Policy protects your info
Customer name:
Is this a legally registered name?
Additional customer name (store #, asset#, etc.):
Site address:
Street address (no P.O. Boxes)
City:
State:
Zip:
Example: 12345
Directions to site:
Mailing address:
City:
State:
Zip:
Example: 12345
Federal ID Number:
DUNS Number:
Customer contact name:
Cust. contact day phone:
Example: 123-456-7890
Cust. contact pager number:
Example: 123-456-7890
Cust. contact cell phone:
Example: 123-456-7890
Cust. contact pager e-mail address:
Example: name@company.com
Cust. contact evening number:
Example: 123-456-7890
Cust. contact fax number:
Example: 123-456-7890
Cust. contact e-mail address (if different from above):
Example: name@company.com
Contractor Information
E-mail address:
Example: name@company.com
Contractor name:
Company name:
Contractor mailing address:
City:
State:
Zip:
Example: 12345
Contact day phone:
Example: 123-456-7890
Contact pager number:
Example: 123-456-7890
Contact pager e-mail address:
Example: name@company.com
Contact cell phone:
Example: 123-456-7890
Contact evening number:
Example: 123-456-7890
Contact fax number:
Example: 123-456-7890
Contact e-mail address (if different from above):
Example: name@company.com
Preferred method of contact:
Building Data
Type of business:
Square feet:
Operating hours/day:
Operating hours/week:
Operating days/week:
Electrical Service Requirements
Service type:
Requested voltages:
Service entrance capacity (amps):
Number of conduits:
Conduit size:
Number of conductors:
Conductor size:
Neutral size:
Electrical plans available:
Multiple meters with identical load:
Unit identifier:
Expected ready date:
New Connection Load
 
Single-Phase
Three-Phase
Heat pumps (tons):
 
Supplemental heat (kW):
 
Air conditioning (tons):
 
Electric resistance heat (kW):
 
Ventilation (kW):
 
Standard water heating (kW):
 
Booster water heating (kW):
 
Computers (kW):
 
Ovens (kW):
 
Fryers (kW):
 
Grills (kW):
 
Other cooking (kW):
 
Refrigeration (kW):
 
Motors (H/P):
 
Miscellaneous (kW):
 
Welder in use:
 
Lighting
 
Indoor
Outdoor
Fluorescent (kW):
 
Sodium (kW):
 
Metal halide (kW):
 
Incandescent (kW):
 
Peak Load Data
Total connected (kW):
Estimated witner demand (kW):
Estimated summer demand (kW):
Largest Motor
H/P:
Phase:
FLA:
LRA:
Variable speed control:
Type of motor:
Type of starter:
Starts/day:
Operating hours/day:
Operating hours/week:
To be used for:
Largest Compressor
H/P:
Phase:
FLA:
LRA:
Variable speed control:

Your Safety is Important
Learn what you must know about working safely around electrical facilities.
Safety For Contractors

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