Non-Residential Load Service Form

Organization
Contact Name*
First Last
Service Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Type of Facility*
Facility Square Footage*
Requested electricity service
Business Type*
Service Type*
Temporary Power Provided*
Requested Service*
Secondary Voltage*
Secondary Voltage*
(120/240 not available on three-phase with underground transformer)
Electric Entrance Size*
If other, please specify*
Select Service Type*
If gas, please specify*
Running Load KVA*
Planned Equipment Usage
HVAC
# of AC Units*
AC Tons*
AC Seer*
Daily hours in use*
# of AC Units
AC Tons
AC Seer
Daily hours in use
# of AC Units
AC Tons
AC Seer
Daily hours in use
# of AC Units
AC Tons
AC Seer
Daily hours in use
Lighting
Type of Lighting*
# of Units
Wattage*
Daily hours in use*
Type of Lighting
# of Units
Wattage
Daily hours in use
Type of Lighting
# of Units
Wattage
Daily hours in use
Type of Lighting
# of Units
Wattage
Daily hours in use
Air Ventilation/Fans/Carbon Filters/Pumps/Auxiliary
Type*
# of Units*
Voltage*
Amps*
Daily hours in use*
# of Units
Voltage
Amps
Daily hours in use
# of Units
Voltage
Amps
Daily hours in use
# of Units
Voltage
Amps
Daily hours in use
Misc. Electric Load
Specify
# of Units
Voltage
Amps
Daily hours in use
# of Units
Voltage
Amps
Daily hours in use
# of Units
Voltage
Amps
Daily hours in use
# of Units
Voltage
Amps
Daily hours in use
Additional Information
Estimated Percentage of Equipment that will be operating all at once*
Licensed Electrician
License Number
Phone
Additional Information that OEC will need to know specific to your project

Planned Equipment Usage