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 Code 112/687Ou
Rev. 11/01/88/EJK
Sheet 1 of 5
UTILITY DATA SHEET
Date
J.0. No.
Submission Status:
Proj./Planning No.
Title:
Activity:
UIC No:
A/E Contract No:
Construction Contract No:
Are existing utilities adequate to support this project? (Please Circle)
1.
Electric
Yes No
N/A
Water
Yes No
N/A
Steam
Yes No
N/A
Sewerage
Yes No
N/A
Natural Gas Yes No
N/A
Telephone Yes No
N/A
N/A "Not Applicable"
2.
Regarding Utilities Contracts: (Please Circle)
a. Do existing utility contracts adequately cover changes?
Yes No
b. Will a change/new contract be required? Yes No
3.
Electrical Requirements
Connection Data
Load Data
(a) Lighting Load KW...Watts/SF
Transformer Size
KVA
(b) Air Cond. Load
KW...Tons
No. of Phases
Primary Voltage
(Specify Below)
(c) Other Loads
KW
Primary Connection (Circle)
"3 Wire Y" "4 Wire Y" "Delta"
"Other" (Specify)
KW
Total Connected Load (a + b + c)
Secondary Voltage
1
Secondary Connection (Circle)
Estimated DEMAND FACTOR (0.1 to 1.0):
KW
"3 Wire Y" "4 Wire Y" "Delta"
Maximum Demand Load
"Other" (Specify)
Where;
Point of Connection for Primary
Maximum Demand Load = Total Connected Load
Power: (Describe, give manhole
multiplied by the DEMAND FACTOR
number, pole number, feeder
2
designation, etc.)
Estimated LOAD FACTOR (0.1 to 1.0)
KWHr
Annual Consumption
Where;
Annual Consumption = Max Demand Load
multiplied by the LOAD FACTOR and by the
Short Circuit Current Available
hours in a year.
at the Point of Connection
Amps
Notes:
1. DEMAND FACTOR: The ratio of the maximum demand on a system to, the total
connected load of the system, See MIL-HDBK-1004/1 for examples.
2. LOAD FACTOR: The ratio of the average load occurring in a time period (i.e.,
one year) to the maximum load occurring during the same time period. See
MIL-HDBK-4001/1 for examples.
4.
Electrical information obtained from Please indicate:
Title:
Person Contacted:
Telephone Number:
Location:
Attachment 15A
1 of 5
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