Load Letter | A&N Electric Cooperative

LOAD LETTER

General Information

Service Location (Street Address):

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Type of Business:

Electrician Info

Electrician Name:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Electrician Phone Number:

Electrician Email:

Member Info

Member Name:

First

Middle

Last

Suffix

Address

Address 2

City/Town

State/Province

Postal Code

United States

Member Email:

Facility Info

Total Square Footage:

Conditioned Space Square Footage:

Type of Heat:

Similar Account Information

(Buildings of like types of business, square footages, operating hours and heating type)

Name of Similar Business:

Address

Address 2

City/Town

State/Province

postal_code

United States

Similar Business Account Number(s):

Similar Business Account Number(s):
	Similar Business Account Number(s):	Item weight

more items

Type of Service (Check All That Apply)

Service Types:

Underground

Overhead

Service Change (Rewire)

Relocation

New

Temporary

Service Characteristics

Size of Load Wires:

Sets of Load Wires Per Phase:

Load Wire Type:

Terminations:

Meterbase

C.T. Cabinet

Connection Box

Other:

Service Size

Services:

200 amp

320 amp

400 amp

600 amp

Other…

Voltage

Select One:

1 Phase 240/120

3 Phase Wye 208/120

3 Phase Wye 480/277

3 Phase Delta 240/120

3 Phase Open Delta 120/240 (limited to 100kW)

Electric Load (Excluding Motor Load)

Interior Lighting:

Exterior Lighting:

Electric Cooking:

Water Heating:

Dryer:

Heat Pump:

Heat Pump LRA:

Kilowatts

Amperage

Amps

Heat Pump Strip Heat:

Electric Heat (Baseboard or Furnace):

Computers:

Receptacles:

Refrigeration:

Other:

Other:
	Other: kW	Item weight

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AC (Data Processing Load Only):

tons

AC (Not Including Data Processing):

tons

Estimated Business Operation Time

Hours Per Week:

Months Per Year:

Meter and Service Equipment Location

Desired Meter Location:

Desired Service Equipment Location:

The information provided in this document, by the customer, is critical to A&N Electric Cooperative in sizing our electrical facilities to provide reliable service to you.

This information will also be used to determine the installation cost for electrical service.

*A&N Electric Cooperative reserves the right to designate and/or approve the location of all metering and C.T. equipment. The company must approve all proposed metering arrangements.

**The member must notify A&N Electric Cooperative prior to the actual connection of any future load.

Signature:

Sign above

Date:

PO Box 290 Tasley, Virginia 23441-0290 - (757) 787-9750 or (800) 431-2632 - Fax: (757) 787-9780

A&N Electric Cooperative is an equal opportunity provider and employer.

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