Rebuild or Upgrade Electrical Service Form | Steele-Waseca Co-op Electric

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Rebuild or Upgrade Electrical Service Form

Date

SWCE Account Number

Owner of Site - First

Last

Address of site

City/Town

State/Province

ZIP/Postal Code

Form filled out by - First

Last

What is the proposed service size?

100 A

200 A

400 A

600 A

Other (please list)…

What type is the proposed service?

Single phase

Three phase

What is the requested voltage of the proposed service?

120/240 - single phase

120/208 - three phase

277/480 - three phase

Please list all motors that will exist on this service. Either list the motor size in horsepower (HP).

Electrical contractor name - First & Last

Company

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Person to contact to set up a site meet: First

Last

Contact number of person

Best time to call

In the event of an emergency: Please do not use email to contact SWCE. We cannot guarantee messages received via email will be monitored during an outage.