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Home My WebLink About11-12400 � CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 12400 ELECTRICAL PERMIT Permit #:12400 Issued: 9/30/2011 Address: 7921 GALL BLVD Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: COMMERCIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 2,�00.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 9/30/2011 Parcel Number: 34-25-21-0010-00100-0010 Name: LIN R ROGERS ELECTRICAL Name: LOWES HOME CENTER Addr: 2050 MARCONI DR STE 200 Address: 7921 GALL BLVD ALPHARETTA,GA. 30005 ZEPHYRHILLS, FL. 33542 Phone: (770)772-3400 Lic: Phone: Work Desc: PROVIDE TEMP POWER FOR CHRISTMAS TREE TENT ELECTRICAL FEE 40.00 ) ��` ROUGH ELECTRIC � � / � / CONSTRUCTION POLE 6 PRE-METER FINAL � - �-CiC 7 /�� i� - G� �S- � � �� U� �� : ,�- REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or wrrections not made when inspection called d) work not ready for inspection when called e) permit not posted on job site � plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be per�ormed in accordance with City Codes and Ordinances. . � __ CONT CTOR PER OFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �,..p ( �`;�`�` • 813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0027 Bwlding Department ' Date Received `�(7 r� phone Contact for Permitting ( ) 1 1 1 1 1 1 1 1 --- I T! i 7 -- Owner's Name �dLJ e� Owner Phone Number Ow�er's Address �W p ,/V (,v�� Owner Phone Number r Fee Simple Titleholder Name Owner Phone Number Fee Simple Titlehoider Address JOB ADDRESS I \j 1� a LOT # � SUBDIVISION PARCEL IDK `-[ '"�� C*� `�Q -CJp � -C.rj (OBTAINED FROM PROPERTY TAX NOT1C� WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK r � BUILDING SIZE SQ FOOTAGE HEIGHT � �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ /�\ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 �11J / - �PLUMBING $ �MECHANICAL y VALUATION OF MECHANICAL INSTALLATION �/ �� GAS Q ROOFING Q SPECIALTY O OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISiERED Y/ N FEE CURREN Y 1 N Address License A� LECTRICIAN �J'� COMPANY I(� ,Q,/13 �(,(�� IGNATURE ^ /' � REGISTERED Y/ N E CURREN Y/ N � Address L (,"(,I�, j �-Y License ��` wa.� �—� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N Address License R —� MECHANICAL � COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N Address License 0 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y! N Address License �k � 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (t) set of Energy Fortns; R-0-W Permit for new constniction, Mi�imum ten (10) working days after submittal date. Required onsite, Construcfion Plans, Stortnwalet Plans w/ Silt Fence installed, Sanitary Facilfties & 1 dumpster; Site Work Permit for subdivisionsAarge projects COMMERCIAI Attach (3) complete sets of Building Plans plus a L'rfe Safery Page; (1) set of Enerpy Fortns. R-O-W Pertnit for new construGan. Minimum ten (10) wortcing days after submittal date. Required onsite, Construdion Plans, Stormwater Pians w/ Silt Fence installed, Sanitary Facilities & 1 dumpster Site Work Permit for all new projeds. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. I 1 � • Directwns. • Fill out application completey Owner & Contrador sign badc of application, notarized If over 52500, a Notice oi Commencement is required. (A/C upgrades over f7500) " Agent (for the contractor) or Power of Attomey (fw the owner) wnuld be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) Driveways-Not over Counter'rf on public roadways..needs ROW . , ROGERS ELECTRIC� � � �'a�� i 1 �- - 2 � �. �.; f 1� Buildi g Department Re: Permits "I'o Whom It May Concern: This letter will authorize �(� � Q. to sign as my authorized Agent on all permits pulied in - , This authorization is to remain in effect indefinitely, unless cancelled by me in writing. If you have any questions or need clarification contact me at 770-521-4988. Sincerely, /` � � � ^ � �o �. � i,in R. Rogers Chairman, Director ACKNOWLEDMENT OF NOTARY PUBLIC The undersigned notary public does hereby certify that the above name of the owner herein executed this power-of-attorney in my presence and that owner is personally known to me or has satisfactorily proven to be the person named herein by the use of the following form of positive identification: . Subscribed before me this_ �, v�- day of �,2011 ��r►1 �e��,.�� Narrle of Notary Public ��Nly/I � ' ``, �'Y MY COMM�SSI E 000982 �" EXPIRES:Augus ' _ � 7� ►�ary Publ'�c Unde� Sign ture ofNotary Public ��„�a• My Commission Expires: �1 ��Y 4450 Pet Lane, Suite 112 • Lutz, FL 33559 • Phone 813.829.8140 • Fax 866.276.4256 • www.lrogerselectric.com \ ,. � � �� _ W � � � ��,� � O ``-y� J� �� iri a o-� � W � o ��a � � � � o� • �� ' o � o w z c� F-- ,� Z QZQ�� JCf� +"��'.t� � �C��'�� dV �'� �� } n. � c� = W :�'��+� w ��aw cn� . w� , ,in�� Y �2�SW� po V � J Z = � ~ N � / � 0 � W � N � = m W JF-(L W ,J� f� W �F- �= O W j� �WO ��. � JN Y �, E--mF- _� w�d 0 w � O � a�m a oa Q �� c� � o°° � � �� X = W U O I- f�� [��1 d � � � W O � m z O C� CfJ � I � _� _� _� _� � _• _• _. _. O W W J J w `_ t ` `� J � Q L �r, -. v C.� F- U I- V � � O N �W C�W � � U � V u? C/.l � O w p W (� m ~' � �I N � � CV � � O _ U m ' p F- v°° �v � � � m m o � '� c�v � � o � r- � � � N r ' �- O N T N N � � �' i 3Vb',417' FLOR�SCEIVT LIGNT� TO E;E CENTE�'ED OVER THE l+b'ALK r",REA �/�""v E}CITlEMERGENCY UGHT TO BE PL�',C�D C�NT�R OF �EXIT PER N�C Z008 CODE � PARKING �OT POLE B�',SE, EXISTING 480203 30A OVER CURRANT PROT�CTION 480/2�$ 240/120 ST�P DOWN TRAhlSFORtv1ER L"JITH 3C]A OISCONIVECT, AND 100A PANEL ! FIRE �XTINGUISHER, PROVIDEO BY PfiOPRIE'fY O�+N�'VE� -� �� J /y ,,�it yi IY�IRI�IG/Y/V�1V IY ;�`� ;,: MY COMMISSION M EE 000902 �. EXPIRES: August 8, 2014 ��, • , � eo�aaa rn�u Na�ry �a� u�a� � � ! • � - � �� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone "V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in a�y area, I certify that use of such fill will not adversely affect adjacent properties. If use of fiil is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for Iots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. if I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time tFre work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEN ER OR AN ATTORNEY BEFORE RECORDING YOUR �N C OF COM NT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscxibed and swom to (or afflrmed) before me this Subscrlbed and s •� by � 3 p I/ b' Who is/are personally known to me or has/have produced Who Is/are perso �; �oe11a1i��0�1�� _ as identlficatlon. ,�' �� •Rf � �ded roy Fain �nsurante 8 '' N18 , � � Notary Public ' Notary Public Commission No. Commission No. Name of Notary typed, prfnted or stamped Name of Notary typed, printed or stamped 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin -- Owner's Name Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number �— Fee Simple Titleholder Address JOB ADDRESS LOT # � SUBDIVISION PARCEL IDJ� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK BUILDING SIZE 3Q FOOTAGE� HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �GAS � ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # ELECTRICIAN � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # PLUMBER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # �— MECHANICAL � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # RESIDENTIAL Attach (2) Ptot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Wo�k Permit for subdivisionsAarge projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. "*•PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over 52500, a Notice of Commencement is required. (A/C upgrades over 37500) ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW • �'""1 LINRROG-01 AUCH '`��_ CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/WW) 9l2712011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLIqES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSIITUTE A CONTRACT BEIYVEEN THE ISSUING INSURER(S� AUTHORI2ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cert'rficate holder is an ADDI110NAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s. PRODUCER (404) 633-4321 N�E Yates Insurance Agency PHONE Fax 4 Executive Park East, NE uc No en : �ac, No�: Suite 200 xooa�ss: _ Atlanta, GA 30329 INSURER(S►AFFORDING COVERAGE NAIC / INSURERA Travelers Indemnity Company 25658 INSURED Lin R. Rogers Electrical Contractors, If1C. INSURER B Travelers Property Casualty Co of America 25615 Rogers Electric Service Corporation INSURER C National Union Fire Ins Co Pittsbur h PA 19445 Rogers Electric Lighting Corporation INSURERD Travelers Indemni Com an ofAmerica 36161 2050 Marconi Drive, S# 200 INSURER E Alpharetta, GA 30005 INSURER F . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDfTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOV4N MAY HAVE BEEN REDUCED BY PAID CLAIMS. �L7R TYPE OF INSURANCE IN POLICY NUMBER MMIDD MMIDDNYYY LIMRS GENERAL LIABILITY EACH OCCURRENCE $ 'I,OOO�OO A X COMMERCIAL GENER.4L LIABILITY VTKCO5787B539 ��2�� 1/1/2012 p�MISES Ea occurrence $ 3 ��e 00 CLAIMS-MADE � OCCUR MED EXP (Any one person) $ �5,�� PERSOnuu 8 aDV INJURY $ 1,000,00 GENERAL AGGREGATE $ Y,OOO,OO GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMP/OPAGG $ Y�OOO�OO POLICY X PR � l0� $ AUTOMOBILE LUIBILfTY COMBINED SINGLE LIMIT Ea acaderd � r��, B X ANY AUTO VTJCAP5787B540 'II'IIZO'I'I 111/2012 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED 80DILY INJURY (Per accitlent) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DMMGE $ AUTOS Per accident X Hired Physical g UMBRELLA LU1B X OCCUR EACH OCCURRENCE $ 'I S,OOO�OO (�` EXCESSLIAB CLAIMSMADE BE26159418 �I'IIZO'I'I 11112072 AGGREGATE $ 'IS�OOO�OO DED X RETENTION $ 'I O OOO g WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LU181LfTY x TORY LIMITS ER D OFFICERlMEEMBEREXCLUD D �CUTIVE Y � NrA VTC2HUB8571C373 ��2�1� 111I2012 EL EACHACCIDENT $ ��0�� (Mandatory in NH} E � DISEASE - EA EMPLOYEE $ �,000,�� f yes, descnbe under DESCRIPTION OF OPER.4TIONS below E L DISEASE-POLICY LIMIT $ �,OOO,OO B LeasedlRented Equipment QT6600104L715 71112011 11112012 500,00 DESCRIPTION OF OPERATIONS ! LOCAl10NS / VEHICLES (Attach ACORD 107, Addklanal Remarka Schetlule, H more space is required) General Liablllty policy referenced above provldes per project aggregate Ilmlt as requlred by written contract. orkers Compensatlon Includes State of FL In 3A. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEPORE City of Ze h rhills 7'NE EXPIRATION DATE 7HEREOF, NOTICE WILL BE DELNERED IN P Y ACCORDANCE WITH THE POLICY PROVISIONS. 5335 8th Street ZephyrhillS FL 33�Z- AIJT}10RIZEO REPRESENTATIVE _--� _ f , "�'� e ��/°.. .�''+�.� " _ _ _ O 1988-2070 ACORD CORPORATION. All rights reserved. ACORD 25 (2010f05) The ACORD name and logo are reglstered marks of ACORD — - --- - � ��,�,. w..,, ,�.� ..,, . ,.;.�.:,:�..�-�,..�x�. . ,.. �... . . 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' . � April Meadows• , � } _...�_ , ;-.�° ' . . , • Rogers Eleciric � 4450 Pet Lane � .::��, :� . � � � S�� . . i �� :..:�.. . � • rd;.M;��`'• lu�z FI, 33559 I ' �.;�"�',� "r�z , ,c� '' u i �� tiM M �u�� a; Phone Si3-829-8147 ��```�'� '�-`° '¢ �OG�RS E�,ECTRIC Fax ss�-9o�-�c.3z ; ��:,,� , '��-�; ;. ��, � �;. , :, � �., , , ,� '^ ^a � � �� C..t � h � t, ax. �� ° C� _ �:�:�;�,�.:,� �� To� y ��_�� ,� • O a-1 ; , ,,,;: t? , 4�: k #�;� �' . �'�`�,��`�=' From: Date: ,`�'::' •:'°i � , '� � �� M �� "" Pages• �p ; �., ��'• ite: . r,i"��'';.�,'�+� .A�A� , x • J .�� i,� �'� Jt ,'+ 1 �' � �' � }�, v>,' ;,+,'��. � :� �*,�S', ` , � '��F • �' %.�� ;�Id� . I r tl y 1� , � 4.• C� •�• • �r�t�. H�l�� M� " • M1� I L '� �✓��,� �� Ya��{ w � � �� ; , � CO�MENTS � ¢ ra�f. ' *u, ; ,'t� 5 , . .? ii +�w' ' !' 1 �'r :� i'�'. �: . 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Please contact your Regional Manager with any questions end/or concerns. Purchase Qrders: . ._ •--•--...._...._........_._....._.... ._......... _.. __.... _..... .. None Invoice: „ . . ....,,� ...... . . . . .. .. .. ... ..-.. .. . --- • ------ . .... ...... ... .... . .. .......,.,»»,..,..,,....._.. . ... None Adivity: . . . . ... . ... .... _.... .. .... .. ........._---...____–_----------------_.__._....__._........_----____._._ .............. Date Employee Description 09/28/11 4;40 PM Work Order Started 09/28/11 4;40 PM New Work Order 09128/11 4:4Q PM Pending Dispatch hllp://cfcsktop.lrogerselectric.com/iniranel.WorkUrderpispatch/DispatchList.as�px?MIID�16 9/30/2011