COMMERCIAL / INDUSTRIAL CUSTOMER INFORMATION SHEET Please complete this form and return to the Estimator assigned to your job Business Information Business / Customer Name: Request Number: Address: Person responsible for advance and contract billing (if different than monthly billing customer): Name: Address: Phone No.: E-mail Address: Fax No: Building Square Footage: : Note: breakdown into use (i.e.: office, warehouse) Hours of Operation (include days & hours): Service Description Desired Secondary Voltage: 3 Phase 120/208v 3 Phase 277/480v 1 Phase 120/240v 1 Phase 120v Only Other Note: Not all voltages may be available Panel Size Total number of 3 Phase meters: 200 A > 200 A (in Amps): ≤ Total number of 1 Phase meters: 400 A > 400 A ≤ Nearest Pole or Equipment number: Type of Service Desired: Overhead Underground Electrical Contractor: Phone No.: Load List (attach additional sheets if necessary) starting New Load Load to be Total Connected Description code to be added removed Load after changes Unit HVAC (name plate rating) Tons* Refrigeration Equipment Tons* Total : (do not convert to kW) 0 Tons Exhaust Fans HP Gas/Fuel/Sump Pump HP Small Motors < 10 HP HP Air Compressor HP Swimming Pool HP Large Motors > 10 HP (not included above) HP Total : (do not convert to kW) 0 HP Electric Heat kW Water Heating kW Lighting kW Outlets kW Office Equipment kW Kitchen Equipment kW Computers, Magnetic Power Supplies kW Machinery kW Thermoplastic Injection Equipment kW Elevators kW Boiler kW Snow Melting kW kW X-Ray Equipment kW Washer/Dryer kW Miscellaneous kW Heat Exchanger kW Humidifier kW Future kW For PEV (plug-in electric vehicle) chargers see page 2. 0 kW
COMMERCIAL / INDUSTRIAL CUSTOMER INFORMATION SHEET Please complete this form and return to the Estimator assigned to your job Business Information Business / Customer Name: Request Number: Address: Person responsible for advance and contract billing (if different than monthly billing customer): Name: Address: Phone No.: E-mail Address: Fax No: Building Square Footage: : Note: breakdown into use (i.e.: office, warehouse) Hours of Operation (include days & hours): Service Description Desired Secondary Voltage: 3 Phase 120/208v 3 Phase 277/480v Note: Not all voltages may be available 1 Phase 120/240v 1 Phase 120v Only Other Panel Size (in Amps): Total number of 3 Phase meters: ≤ 200 A > 200 A Total number of 1 Phase meters: ≤ 400 A > 400 A Nearest Pole or Equipment number: Type of Service Desired: Overhead Underground Electrical Contractor: Phone No.: Load List (attach additional sheets if necessary) Description starting code New Load to be added Load to be removed Total Connected Load after changes Unit HVAC (name plate rating) Tons* Refrigeration Equipment Tons* Total (do not convert to kW) : 0 Tons Exhaust Fans HP Gas/Fuel/Sump Pump HP Small Motors < 10 HP HP Air Compressor HP Swimming Pool HP Large Motors > 10 HP (not included above) HP Total (do not convert to kW) : 0 HP Electric Heat kW Water Heating kW Lighting kW Outlets kW Office Equipment kW Kitchen Equipment kW Computers, Magnetic Power Supplies kW Machinery kW Thermoplastic Injection Equipment kW Elevators kW Boiler kW Snow Melting kW kW X-Ray Equipment kW Washer/Dryer kW Miscellaneous kW Heat Exchanger kW Humidifier kW Future kW For PEV (plug-in electric vehicle) chargers see page 2. 0 kW
Commercial_Customer_Load_Sheet_automated28Sep17.docx