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NON-RESIDENTIAL GCEC REQUEST FOR SERVICE Company Use: Please complete in full and return to contact listed below Design #: __________________ Account #: _________________ Authorized Representative: please sign and date form General Information Project Name: Project Location: __________________________________________________________________________________________________ __________________________________________________________________________________________________ County__________________________________City_______________________________________________________ Developer: ___________________________________________ Phone: _________________________ Cell: ___________________ Job Superintendent: ___________________________________________ Phone: _________________________ Cell: __________________ Engineer: ___________________________________________ Phone: _________________________ Cell: __________________ Energy Sources (Circle or Bold choices) Electric Yes No Gas No Yes Type of Building (restaurant, office, store/retail, etc.): ________________________ Square Feet of Building ________________________ Additional Service Design Charge This charge is made for preparing iterative designs to provide new service to a specific location where such iterations are at the request of the Retail Customer/CR for the Retail Customer’s sole benefit. The initial two designs on a project will be included in the system charges; any additional designs will be done at Retail Customer’s expense based upon additional costs incurred. Electric Requirements Site Plan: Mark desired meter, transformer and other equipment locations. Survey or other Plats may be required – consult Project Manager on exact requirements. Electric Load Summary (See Attachment) – Size of Service in Amps and voltage MEP (including panel schedules, one line diagrams, and riser diagrams) Hours of Operation:______________________ Type and Number of Secondary Conductors: Type/Number of Conduits: _________________________________ Number of Conductors: ________________________________ Wire Size (350 MCM unless requested otherwise): ______________________________________Al or Cu (Circle or Bold One) Requested service type: (Circle or Bold appropriate choices) Underground Overhead Single Phase Three Phase 120/240 120/208 240/480 277/480 Service Entrance Equipment/Panel Size: ______________________________________ Request Dates: ___/___/___ Temporary Service ___/___/___ Permanent Service *Allow up to 10 business days for preliminary cost estimate after receipt of completed application and relevant electrical drawings. *Required permits, easements and surveying will necessitate additional design time. *All three-phase transformers will require a 40 to 44 week lead time. Equipment will not be ordered until contracts are signed. Gas Requirements *Excess facilities at the request of the customer shall result in additional charges to the customer. *Please provide information on any special equipment to be served. *It is the customer’s responsibility to clear right-of-way for the installation of GCEC electric distribution facilities to GCEC specifications. Special Requirements: ______________________________________________________________________________________________ _________________________________________________________________________________________________________________ ________________________ Signature __________________ Title ___________________ Phone ___________ Date Revised 05/13/17 Grayson-Collin Electric Cooperative LOAD REQUIREMENT FORM Requested voltage: _______________________________ ELECTRICAL LOAD REQUIREMENTS HVAC LOAD INFORMATION: Quantity Phase Volts Tons Seer Connected KW/Each Heat KW/Each MOTOR LOAD INFORMATION: Quantity Phase Volts Conn HP/Each Type Start Equipment Description LIGHTING (please specify if lighting is indoor or outdoor): Quantity Equipment Description PhaseIn Volts Connected KW/Each MISCELLANEOUS LOAD INFO (receptacle loads, kitchen equipment, computer loads, etc.): Quantity Equipment Description PhaseIn Volts Connected KW/Each Revised 05/13/17
