Project Name (& phase if applicable):
Request is for: è Information Only Electric Service Extension
Project Address:
** Re: Utility Account Number:
Lot #: Block #: Parcel #:
Type of Service: Project Engineer or
Architect:
Commercial Building Engineering/Architectural
Firm:
Industrial Park or Facility Telephone:
( ) -
Retail
Center or Building Customer
Name:
Residential
Subdivision Customer
Telephone: ( ) -
One
Unit Residential Number
of Meter Bases:
Service
Data:
Main Breaker Size: Amps Service Voltage: Volts
Number of Phases (1 or 3):
Phase Conductor(s): Size,
Quantity,
Material
(Cu or Al)
Neutral Conductor(s): Size, Quantity,
Material
(Cu or Al)
Secondary Service Distance
(from meter to transformer): Feet
Underground
Requested Overhead
Requested
Number of Conduits: Total Type of
Mechanical Attachment to
Conduit Size: the
Building or Structure:
Number
of Conductors per Insulated
House Knob
Electric Load Data:
KW, Expected Peak Demand (A) (used for
contract demand and transformer size)
KW, Total Connected Load (sum
of power used, calculated from list below)(B)
Diversity Factor Expected
(example 70%)(A/B)
Amp Heat Pump – Compressor Hp Manufacturing Load
KW Heat Pump - Strip Heat Hp Largest motor, Phase
Ton Air Conditioning (not
Heat Pump) Amp Welders (Max), Phase
KW Resistance Heat (not
Heat Pump) KW Refrigeration Load
KW Air Handling (not Heat
Pump) KW Water Heating Load
KW Lighting Load
KW Cooking
Load
KW Receptacles
KW Future
Load
KW Miscellaneous
Additional Comments or Equipment requiring Special
Attention:
Permanent Service Date: Temporary Service Date:
Note: Please contact Community Development for Site Plan/Drawing
submittals.
Return Completed Document to: Submitted
By:
City of Oak Ridge Electric
Department Name: Title:
P.O. Box 1 Signature:
Date:
Oak
Ridge, TN 37831-0001
----- DO NOT WRITE BELOW THIS LINE -----
Contract Required: YES NO Contract
Demand: kW Deposit: $
Staff Comments:
Copy to UBO **-For
office use only, customer does not fill out.
CORED Form 9-0-1, Revision 4, 11/20/2002