Electric Department
Phone: 540.587.6071
877 Monroe Street
Fax: 540.587.6131
Bedford, VA 24523
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.
Type of Heat
Electric Motor Load (Except HVAC)
Meter Location Desired
Service Location Desired
Primary Voltage Required (if any):
___________
Relocation
Temporary
Other
NEW
Town of Bedford
General Information
Total Square Footage
Underground
Overhead
Re-wire
Meterbase
Connection Box
CT Cabinet
Manufacture:
Type of Service (check all that apply)
200 Amp
300 Amp
400 Amp
600 Amp
Service Characteristics (check all that apply)
Sets of load wires per phase:
Load Wire Type:
Load Wire Size:
Terminations:
If Yes, Setting:
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.
Hours / Week
Months / Year
___________
___________
___________
No. of
motors
Op Hrs /
week
Phase
HP
Voltage
Heat (baseboard or furnace):
AC (Data Processing Load Only):
AC (Not including Data Processing):
Computers:
Recepticals:
Refrigeration:
___________
Water Heating:
Dryer:
Heat Pump Strip:
Interior Lighting:
Exterior Lighting:
Electric Cooking:
Voltage
Service Size
100 Amp
150 Amp
Last Updated: 5/2/2017 17:21 G:\BED System\BED Load Letter Page 1 of 1