HomeMy WebLinkAboutSERVICE DESCRIPTION - 22-00887 - 312 W 4th S - ElectricalROCKY MOUNTAIN
`PACIFIC POWER COMMERCIAL/ INDUSTRIAL CUSTOMER INFORMATION SHEET INPOWER
Please complete this orm and return to the Estimator assigned to yourjob
'^ B_usiness Information
Business/ Customer Name: M *r-:I it i 7 RNC C7
yip
Request Number: I
Address: I j W tS-H U SOu� Intbwn ' 8 3 y y o
Person responsible for advance and contract billing (if different than monthly billing customer): /
Name: �i Aclt u Address: Phone N6..�20� - .?LSCo
E-mail Address: r Vlor i rS7 '(r awk 0 i e►S..c.+J �. v ^^Fax No:
Building Square Footage:: Note: breakdown into use (i.e.; office, warehouse)
Hours of Operation (include days & hours): M• u -Ar-; S gO
Service Description
Desired Secondary Voltage: ❑ 3 Phase 120/208v ❑ 3 Phase 277/480v
Note: Not all voltages "say be available X 1 Phase 120/240v ❑ 1 Phase 120v Only ❑ Other
Panel Size (in Amos): 26D k«+DS Total number of 3 Phase meters: 5 200 A > 200 A
Total number of 1 Phase meters: 5 400 A 07 > 400 A
Nearest Pole or Equipment number: Type of Service Desired: ❑ Overhead ['Underground
Electrical Contractor: Gi-��cti ;c Phone No.0011! Y qO-=(a/y
Load List (attach additional sheets if necessary)
Motor 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: 'L 0 His
Electric Heat kW
Water Heating p kW
Lighting kW
Outlets kW
Office Equipment kW
Kitchen Equipment p „J W kW
Computers, Magnetic Power Supplies kW
Machinery kW
Thermoplastic Injection Equipment kW
Elevators kW
Boiler kW
Snow Melting kW
Signs kW
X-Ray Equipment kW
Washer/Dryer kW
Miscellaneous kW
Heat Exchanger kW
Humidifier kW
Future kW
For PE V (plug-in electric vehicle) cha ers see age 2. Total: a ob 0 kW
It is important to provide the most accurate information available, as it is used by the Estimator to design PacifiCorp's
facilities termme the customer's costs. Please sign and date this form before giving it to your estimator.
Customer Signatutie Date
Plug-in Electric Vehicle (PEV) Chargers:
Revised 27F61 • Tons = BTUA 2,000