Exhibit_F_Duke_Energy_Commercial_Service_Information_Form_(1).pdf

COMMERCIAL / INDUSTRIAL SERVICE INFORMATION FORM

Before Duke Energy can proceed with your project design application for new construction service is required. Please provide the necessary billing and design information on this form. Please contact Builders Line to apply for service. If you have any questions please visit the Duke Energy website https://www.duke-energy.com/partner-with-us/builders-developers-and-contractors

LOGISTICAL CUSTOMER INFORMATION

o New o Existing If existing please provide Duke Energy Account number:_________________________________________

Service Address where work is being performed

Type of Business to be served

Hours of Operation Per Day:_____________________ Per Week:_________________________ Per Month:_______________________

Property Owner Contact Info (the owner listed on the Deed to the Property)

Property owner name (company name or customer name):

Property owner address

Property owner phone number Property owner email Address:

Customer Who Will Receive Invoice for Construction charges. (if applicable) Check o if same as Property Owner

Customer’s name (company name or customer name)

Customer’s address

Customer’s phone number Customer’s email Address:

Customer Who Will Receive the Monthly Bill for Electric Service. Check o if same as Property Owner

Customer’s name (company name or customer name)

Customer’s address

Customer’s phone number Customer’s email Address:

General Contractor’s Name

General Contractor’s phone number

General Contractor’s email address

Electrician’s Name

Electrician’s phone number

Electrician’s email address

Previous service address

KENW

Text Box X

LOAD SIZING INFORMATION

IMPORTANT! Site plan with legal description, civil plans, mechanical and electrical panel schedules may be required by engineering.

Duke Energy Exterior Area Lighting Proposal Requested: o Yes o No

Voltage Requirements and Load Information:

o 120/240 volt – 3 wire, single phase o 480/277volt – 4 wire, 3 phase o 208/120 volt – 4 wire, 3 phase o Other (Please Specify) :___________________________________

Please remember to list any other phase or voltage requirements such as elevators, lift station, pumps.

Largest 1 Phase 3 Phase Total kW (Tons/HP)

Total Demand kW

*A/C or Heat Pump (Tons)

Heat Strip

Lighting

Refrigeration

Water Heating

Cooking

Miscellaneous

Receptacles

Larger motors may require starting compensation

List of Motors (Horsepower and Description):

Total Connected kW:_____________________________________ Total Demand kW:_____________________________________

Building Sq Ft: __________________________ # of Units:_ ______________ Perm Power Date:________________________

Size of Main (Panel Size): __________________ # of Meters: _____________ # of Stories: ____________________________

Secondary Conductor Size: _ __________ AL ________ CU __________ Bldg Service Entrance: OH ________ UG_______

Neutral Conductor Size: ______________ AL ________ CU __________ # of Conductors per phase (Sets/Runs)_________

Remarks:

Customer Owned Generation such as Solar Panels? Please Provide information:

©2017 Duke Energy Corporation 172660 12/17

Please return completed form via email to Sppc@Duke-Energy.com. For questions, contact sppc@Duke-Energy.com.

KENW

Text Box X

KENW

Text Box X

KENW

Text Box 20 hp - elevator