Commercial Power Information Request - Clinton Utilities Board

This form is used to evaluate system capacity, determine how the requested load will be served, and assess whether a Contribution in Aid of Construction (CAC) applies. Providing complete and accurate information will help avoid delays in design and scheduling.

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This field is for validation purposes and should be left unchanged.

Project Name:

Subdivision, Building Name, Job Reference

Street Address:(Required)

Parcel ID: (if applicable)

Customer/Company Name:

Owner Name: (if different)

Contact Person:(Required)

Contact Person Phone:

Email:(Required)

Electrician/Electrical Engineer:

Electrician/Electrical Engineer Phone:

Main Breaker Size/Service Disconnect Rating:(Required)

Requested Electric Service Type:(Required)

If "Other", Please Specify:

Peak Expected Demand in kW:

Requested Date for Energizing Service:(Required)

Temporary Power Needed?

Yes

(1) Provide one-line /riser diagram showing main service equipment ratings, conductor sizes, etc. (Required for 3-phase services). (2) Provide a load schedule showing connected loads in kVA and/or horsepower. Indicate single-phase or three-phase for each load.

Drop files here or

Accepted file types: pdf, dwg, jpg, png, gif, docx, xls, xlsx, doc, jpeg, Max. file size: 128 MB.

Site Will Have Motor(s) 20HP and/or Larger:

Yes

Additional Comments or Project Information:

Locked Rotor Amps (LRA)

Starting method (across-the-line, reduced voltage, VFD, etc.)

Expected Frequency of Starts

Once submitted, your information will be received and reviewed by CUB Engineering. A member of our team will contact you to discuss service requirements and next steps.

Preferred Method of Contact:(Required)

Phone

This form is available as a fillable PDF. Click the button below to download the form and, once completed, please email it to service@clintonub.com.

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