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Commercial & Industrial Electrical Service Load Plan If you are building and/or preparing an electrical design, specifications and plans, requiring electrical service from Powder River Energy Corporation, please submit this form along with the Load Evaluation Form. Member Information: Name: ____________________________________________ Date submitted: _________________________________ Address: _______________________________________

Phone: _________________________________________

Cell phone: ________________________________________ Email: __________________________________________ Job site contact information: _________________________________________________________________________

Description of electrical loads Existing connected load _____________________________________________________________________________ (Including motors) ____________________ ( kW 1Ø) __________________ (kW 3Ø) ___________________ (kW Total)

New Equipment Connected Load (kW) except motors

1 Phase

3 Phase

New Motors Connected Load

1 Phase No.

3 Phase HP

No.

HP

Total HVAC Motors

Lighting Cooking

Total Refrigeration

Resistant Elec. Heat

Total Other Motors

Water Heating

Total All New Motors

Air Conditioning

1 Phase

Convenience Outlets

Largest Motor

Future Growth

HP

3 Phase

Starting kVA Code

HP

Starting kVA Code

Largest New

Major Misc. Load Total New Load (except motors)

Largest Existing

Coincident Demand Information Existing loads ____________________kW

1Ø __________________ kW

3Ø ___________________ kW

New loads ____________________kW

1Ø __________________ kW

3Ø ___________________ kW

Total loads ____________________kW

1Ø __________________ kW

3Ø ___________________ kW


Transformer Desired:

Pad Mounted

Pole Mounted

Preferred Location(s) of Transformer(s) _______________________________________________________________ Voltage Desired:

1Ø 120/240 ___________

3Ø 120/208 ___________

3Ø 277/480 ____________

Secondary Service: Overhead __________ Underground___________ Conduit Size ________________________

No. of Conduits _____________________________

Customer’s service entrance conductor: Size _______________________________________________________ No. of conductors per phase ___________________________________ (8 per phase maximum) Customer’s Main Service Breaker size ___________________________ Desired Location of Service to Building _______________________________________________________________________________________________________________ Desired Meter Location(s) _______________________________________________________________________________________________________________ Desired Location of Current Transformers (metering) box _______________________________________________________________________________________________________________ No. of Meters: 1Ø_________________ 3Ø__________________ Additional Information: _______________________________________________________________________________________________ ______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Building: ___________________ Floor Area:_________________ Sq. Ft.:_____________ No. of Apt Units:_______ Location: ___________________________________________________________________________________________ City:_____________________ State:______ Approximate Date Permanent Electric Service Needed: ___________________ Attach two (2) prints of plot plan showing the building and proposed location of service entrance, vault or pad

1Ø GREATER THAN 200AMP AND ALL 3Ø REQUESTS MUST SUBMIT A LOAD EVALUATION ALONG WITH THIS FORM FOR REVIEW BY THE SYSTEM ENGINEER.

service-loadplanform-fillable  

Description of electrical loads Existing connected load _____________________________________________________________________________ (Inclu...

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