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Bayfield Electric Cooperative, Inc. Welcomes You!
Bayfield Electric Cooperative
7400 Iron River Dam Road
P.O. Box 68
Iron River, Wisconsin 54847

Phone: 1-715-372-4287
Toll Free: 1-800-278-0166
Fax: 1-715-372-4318 

Touchstone Energy
RESIDENTIAL LOAD - PREVIOUSLY UNSERVED FORM
This is used to determine usage for new service
TYPE OF STRUCTURE: Mobile Home:___ Single Family Home:___ Multi Family Home:___
Electrical Load
How Many
SIZE
Electric Furnance    
Electric Heat Pump    
Electric Resistance Heat    
Central Air Conditioning    
Window Air Conditioner    
Home Freezer    
Frost Free Refrigerator    
Standard Refrigerator    
Electric Range    
Electric Range w/ Automatic Oven Cleaner    
Electric Clothes Dryer    
Electric Water Heater    
Wash Machine    
Dish Washer    
Micro Wave Oven    
Water Pump    
TOTAL    
SUPPLEMENTAL ENERGY SOURCES YES NO
Solar System for Water Heating    
Solar System for Supplemental Heating    
Solar System for Air Conditioning    
Wood Burners for Heating (not fireplace    

NAME ____________________

DATE ____________________

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