APPLICATION FOR NEW SERVICE
Please print out
page(s), fill-in and mail to:
PO Box 138
Wellsboro, PA 16901-0138
Page 1
|
APPLICATION FOR NEW SERVICE |
|
Please print out
page(s), fill-in and mail to: |
Wellsboro Electric Company PO Box 138 Wellsboro, PA 16901-0138 |
|
Page 1 |
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| Name: __________________________________ |
Date: _________________ |
| 1. | Applicant is: | 
Owner
Builder
Electrician
Other |
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| 2. | Request is for: |
New Service
Temporary Service
Change Existing Service |
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|
Underground
Overhead
Temporary |
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| 3. | What phase service are you requesting?
Single Phase
Three Phase |
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| 4. | Service Size (amps): _________________ Existing Service Size (amps) if upgrading: __________________ | |||
| 5. | Customer Classification:
Residential
Commercial
Industrial
Other |
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| 6. | Construction Status (land cleared, graded, etc.): _______________________________________________ | |||
| 7. | Construction Start Date: ____________ Projected "In Service" Date: ____________ | |||
| 8. | ___________________________________________________________________________________________ | |||
| Service Mailing Address - House Number, Street, Etc. | ||||
| 9. | ___________________________________________________________________________________________ | |||
| Service Location | ||||
| 10. | ___________________________________________________________________________________________ | |||
| Electrician's Name, Address and Telephone Number | ||||
| 11. | ___________________________________________________________________________________________ | |||
| Builder's Name, Address and Telephone Number | ||||
| * Residential customer's please complete Part II. * Non-Residential customers please complete Part III. | ||||
| Part II Residential Applicants | ||||
| Type of Dwelling
Modular
Trailer
Doublewide
Log Cabin
Frame Built |
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| Total Square Feet __________________ Conditioned Square Feet __________________ | ||||
| Main Heating System (hot water, forced hot air, radiant/resistance, geothermal, etc.) | ||||
| _______________________________________________________________ | ||||
| Heating Fuel:
Gas
Electric
Oil
Propane
Other ___________________ |
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| Special Features:
Heat Pump
Central Air
Other ___________________ |
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| Water Heater:
Gas
Electric
Oil
Propane
Other __________________ |
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| Electric Water Heater Capacity in gallons: ____________
Single
Dual Element |
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| Largest Water Heater Elements in Watts: _____________ | ||||
| Electric Space Heater:
Furnace
Heat Pump
Room Units |
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| Total kilowatts of space heat: ___________________ | ||||
| Total kilowatts of lighting load (inside/outside) ___________________ | ||||
| Air Conditioning:
Window
Central
Total BTU's ___________________ |
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| List any unusual loads: _______________________________________________________ | ||||
Page 2 |
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| Part III All Commercial and Industrial Customers | ||||
| Type of Building: ____________________ No. of units Planned: ____________________ | ||||
| Provide the single and/or three phase loads in KW for the following: | ||||
| Cooking: | _________________ | Water Heating: ___________ | Air Conditioning: _____________ | |
| Space Heating: | _________________ | Lighting: ________________ | Process Heating: _____________ | |
| Refridgeration: | _________________ | Motors: ________________ | Computers: _________________ | |
| Elevators: | _________________ | Pool: __________________ | Jacuzzi: ____________________ | |
| Miscellaneous: | _________________ | Miscellaneous: ___________ | Miscellaneous: ____________ | |
| Voltage you are requesting (i.e. 120/208): ________________________________________________ | ||||
| Existing peak demand in KW for summer and winter: ________________________________________ | ||||
| Describe any unusual loads: ___________________________________________________________ | ||||
| Horsepower and voltage of largest motor: _________________________________________________ | ||||
| Estimated power factor: ______________________ | ||||