HomeMy WebLinkAbout158971-HVAC (replacing furnace) 12/04/2013 13:37 9202302665 ANDERSON HVAC LLC PAGE 01/01
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� 215 C6wrA Aveooe
PO Boa 1130
Q�rosh VYI 5�90I-113�
. OffftC 9a0-Z36-SOS�
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Electric �nstalladon verification �
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' (Electxxcal Contractor Name}
7 s"l C R,��N��- UMR� w� �y_��� -
(Address) (CitY) (State) (Zip Code)
have been corc�racted to perfozm electric installation work for �h�"��G>..� �V��
(Name of party contracted to)
at the followin�address: � � �_ �J�V 4�c� ,�-t _
.: (Address where work will be performed) .
The nature of the work coasists of. (Check One or Describe the Nature of Work}
� Recovnection.or new circuit for replaeement Heating Plant and/or A/C Cvndenser. •
�econne�tion or new cizcuit for rep�ac�.ement Elet�xic Waier Heater or pawe,r vented
vvater beateX.
�tecont�ection o�the Service Entrance Cable,Mcter Box,altc.tations to recep�taeles
and lighting fixtures due ta sidi.ng/soffit installation. Note: Ncw Setvice
Entrance Cables will re�uare a separate permit
�2econnect�on or new circuat�or the replacemeat of other permane�tly wired
appliat►ces/fixtures.
�iew circuit for the addition of A/C to an individual dwelling unit(house or the ,
individual systems in a duplex or condominium),includimg requiread service
e�ectrical outlets. .
Other
The value O�this wOrk is$�� �
i hereby verify this wozk will be performed by ara employee�of this company an�d�'iuther verify
the reco�ection/installation will be done in compliance with ma�nufaCturer and Elactric code
require�ments.
✓J ' � ScU-� 'Z�M,,,�; C-� � �/��/� �
Signature o mpany Officer) (Print�1ame of Offiicer) (Date)