are you currently a member of svec? yes no · are you currently a member of svec? yes no account...

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New Service Application Are you currently a member of SVEC? YES NO Account Name Billing Address Name of Contact Contact No. Alt. No. Email Date City State Zip Owner of Property Assessors Parcel No. (APN) County Physical Address or Description City State Zip Description of facility/equipment to be served: 1. New Service Replace Panel Upgrade Panel 2. Single Phase Three Phase 3. Overhead Underground 4. Operating Voltage (Volts) Total Connected Load Operating Demand Load (kW) (kW) Service Panel Rating (Amps) Total Horsepower (HP) (If Applicable) * Are there any motors or drives being installed which are classified as variable frequency drive (VFD), adjustable speed, electronic speed, etc.? YES Electrician/Contractor Name Company/Business Name Contact No. Email 1. 100 Watt 200 Watt 2. Quantity: No. of Lights Size: 3. Location: New Pole Existing Pole 4. Direction: Gen. Direction DATE RECEIVED Estimate Work Order No. Location No. Account Name Rate Code Description Type ATC Tax Code Twn Rng Sec SVEC USE ONLY SECURITY LIGHT INSTALLATION ELECTRICIAN/CONTRACTOR INFORMATION SERVICE REQUIREMENTS PROPERTY TO BE SERVED APPLICANT INFORMATION (HP) (kVA) (Volts) (Ø)

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Page 1: Are you currently a member of SVEC? YES NO · Are you currently a member of SVEC? YES NO Account Name Billing Address Name of Contact Contact No. Alt. No. Email Date City State Zip

New Service Application

Are you currently a member of SVEC? YES NO

Account Name Billing Address

Name of Contact Contact No. Alt. No.

Email

Date

City State Zip

Owner of Property

Assessors Parcel No. (APN) County

Physical Address or Description

City State Zip

Description of facility/equipment to be served:

1. New Service Replace Panel Upgrade Panel

2. Single Phase Three Phase

3. Overhead Underground

4. Operating Voltage (Volts)

Total Connected Load

Operating Demand Load

(kW)

(kW)

Service Panel Rating (Amps)

Total Horsepower (HP)(If Applicable)

* Are there any motors or drives being installed which are classified as variable frequency drive (VFD), adjustable speed, electronic speed, etc.? YES

Electrician/Contractor Name Company/Business Name Contact No. Email

1.

100 Watt 200 Watt

2.Quantity:

No. of Lights

Size: 3. Location:

New Pole Existing Pole

4. Direction:

Gen. Direction

DATE RECEIVEDEstimate

Work Order No. Location No.

Account Name Rate Code

Description

Type

ATC

Tax Code Twn Rng Sec

SVEC USE ONLY

SECURITY LIGHT INSTALLATION

ELECTRICIAN/CONTRACTOR INFORMATION

SERVICE REQUIREMENTS

PROPERTY TO BE SERVED

APPLICANT INFORMATION

(HP)(kVA)(Volts)(Ø)