electric@bedfordva.gov
Type of Business
Electrician Address Phone
Customer Address Phone
Conditioned Space Square Footage
Al Cu
other:
1 Phase, 3 Wire, 120/240 3 Phase, 3 Wire, Delta, 120/240 (limited to 200 A or less per service)
3 Phase, 4 Wire, Wye, 120/208 3 Phase, 4 Wire, Wye, 277/480 Other (must be approved by BED)
kW kW
kW kW
kW kW
kW kW
kW kW
kW kW
kW kW
Tons kW
Tons kW
Indoor Outdoor
Yes No Indoor Outdoor
BED reserves the right to designate and/or approve the location of ALL metering and CT equipment. BED MUST approve all
proposed metering arrangements. The customer must notify AJ Fairchild (540.587.6075) prior to the actual connection of any
future load.
Electric Motor Load (Except HVAC)
Primary Voltage Required (if any):
Service Location (Street Address)
Type of Service (check all that apply)
Service Characteristics (check all that apply)
Sets of load wires per phase:
The information provided in this document, by the customer, is critical to Bedford Electric Department (BED) in sizing our
electrical facilities to provide reliable service to you. This information wil also be used to determine the installion cost for
electrical service.
All conductors must enter from top and bottom (not side or back) of the instrument transformer cabinet. Line and load
conductors must enter from opposite ends of the cabinet so that metered and non-metered conductors will not cross.
Estimated Business Operating Time
Electric Load (Excluding Motor Load)
Heat (baseboard or furnace):
AC (Data Processing Load Only):
AC (Not including Data Processing):
Last Updated: 5/2/2017 17:21 G:\BED System\BED Load Letter Page 1 of 1