Load Profile Form (greater than 200 amps) MPU Electric Load Data Form Complete this form for services larger than 200 amps. Be as specific as possible.Person/Company Providing Data PhoneProject Address Street Address Address Line 2 Description: Residence or type of business Service Size - Amps 200 320-400 600 800 1200 1600 2000 3000 Service Type Underground Overhead Total Building Sq. Ft. Service Voltage 120/240 12/208 277/480 Primary Service Service Phases 1 Phase 3 Phase A. Planned Electric Loads (Attach schematic plan drawings and additional information available)File(s) Drop files here or Select files Max. file size: 512 MB. LightingNameplate KW, KVA, HP, or Volts and Amps (Specify Units) Phase Load 1 Phase 3 Phase Est. Runtime per day (Hrs.) or Diversity Factor Air ConditioningNameplate KW, KVA, HP, or Volts and Amps (Specify Units) Phase Load 1 Phase 3 Phase Est. Runtime per day (Hrs.) or Diversity Factor RefrigerationPhase Load 1 Phase 3 Phase Est. Runtime per day (Hrs.) or Diversity Factor HeatingPhase Load 1 Phase 3 Phase Est. Runtime per day (Hrs.) or Diversity Factor VentilationPhase Load 1 Phase 3 Phase Est. Runtime per day (Hrs.) or Diversity Factor GeothermalPhase Load 1 Phase 3 Phase Est. Runtime per day (Hrs.) or Diversity Factor OtherPhase Load 1 Phase 3 Phase Est. Runtime per day (Hrs.) or Diversity Factor B. Total Estimated Coincident Demand Considering Diversity (KW) C. Motor Load DetailEquipment Driven | # of Motors | Motor Horsepower | 1 or 3 Phase | Variable Speed? (Y/N) | Soft Start? (Y/N) Add RemoveD. Welder DetailNumber | Amps | Volts Add RemoveAdditional Comments or InformationED-1023 rev. 9/8/2020 Download a PDF version of this form
