HomeMy WebLinkAbout0121575-HVACN
.. e
(e lectrical C ontraetor Name)
(Athos) - - v �- -- (City) (State)
have hcen contracted to prWin cll'c:tN installation wort: Or
(Mmic of'party c onfractc,d to)
at tire: toile }w ing address: .. 6 7 C - --
(Address work will be I�tsrfi�rrnccl}
The nature: of work consists on (Check Ono or Describe the Nature of Work)
- Reconnection or new circuit fray rel)Wu rncnt 1 leathig Plraart and /or A /C: Con tenser.
Rc:comweliou or new circuit Or mplacerue,rt I .,.lcctric Seater Heater or howca' vented
water healer.
tZcCi)anrudion of tlic, Service Entrial][;a Cable, Me ter Box, al t erations to rccupta
- -
and lighting fixture% duc to siding; I soffit installation. Note: New Servicc
Whanc:c_: Cables will rc;clr by a sclrrndu pmnAl.
Reconnection or new circuit for the replacement of olber hci wired
appliances / fixtures.
Now circuit fir the addition of - A/C loan irrr /ivir utd Kell ng rn k (house or flies
individual systems hi a duplex or condominium), including rcclaaired service
a'.1Cl;lriM oao ,
C )ther
`le value of €his work is S.
I hoi l7y verify this wort; will be Im lbrow.d by an unWhryc a of this ccnnWmy and RwOmr verify
the a connec:tion / installation will be. done in compliance with rrrannfsrctnrc °r and FIcctric code
rl�llalirl:rrre;raus.
— ('�i,
6`1'C'milpally Offic el - ) -- (1 Name ol'OfYiccr) Obtc)
5111')
Lily or0'P:i.,,h
Diviaouoflp;g don Sovius
>15 Ckwh 114'C111!`
lu Bm 100
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f i'l lilt 0710
i lax 920.236-
.. e
(e lectrical C ontraetor Name)
(Athos) - - v �- -- (City) (State)
have hcen contracted to prWin cll'c:tN installation wort: Or
(Mmic of'party c onfractc,d to)
at tire: toile }w ing address: .. 6 7 C - --
(Address work will be I�tsrfi�rrnccl}
The nature: of work consists on (Check Ono or Describe the Nature of Work)
- Reconnection or new circuit fray rel)Wu rncnt 1 leathig Plraart and /or A /C: Con tenser.
Rc:comweliou or new circuit Or mplacerue,rt I .,.lcctric Seater Heater or howca' vented
water healer.
tZcCi)anrudion of tlic, Service Entrial][;a Cable, Me ter Box, al t erations to rccupta
- -
and lighting fixture% duc to siding; I soffit installation. Note: New Servicc
Whanc:c_: Cables will rc;clr by a sclrrndu pmnAl.
Reconnection or new circuit for the replacement of olber hci wired
appliances / fixtures.
Now circuit fir the addition of - A/C loan irrr /ivir utd Kell ng rn k (house or flies
individual systems hi a duplex or condominium), including rcclaaired service
a'.1Cl;lriM oao ,
C )ther
`le value of €his work is S.
I hoi l7y verify this wort; will be Im lbrow.d by an unWhryc a of this ccnnWmy and RwOmr verify
the a connec:tion / installation will be. done in compliance with rrrannfsrctnrc °r and FIcctric code
rl�llalirl:rrre;raus.
— ('�i,
6`1'C'milpally Offic el - ) -- (1 Name ol'OfYiccr) Obtc)
5111')