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In 18 2010 S :56AM HP LASERJET FAX p` 8 <br /> WORK ORDER/fill/ELECTRICAL, DATA SHEET <br /> Company & Rep. Name: C ' - d — ,. • t d Cis)/} . , - r • - <br /> Job Location Address: 3 - 76" - -s" to kg t z it <br /> cutlpm Phone # f1 7Pz-- - 013 1 <br /> . 1./ t _ s • <br /> Is there ric Ott the Derr iit7 <br /> 1 / �A Illll�lw� 111 A II��� rrr�a��r <br /> 1. Air Handler Lpce. _ <br /> 2. KW Rating- <br /> 3, Light with Switch & Receptacle in Attic; <br /> a. Condensatirni Pump outlet: <br /> 5. Condenser (Heat .Pump) Location; - -. — <br /> b, Condenser Min. Circuit Ampacity; _ <br /> • 7. Service upgrade required: <br /> S. Electrical Estimate required:_ <br /> 9.' Name Brand of Electrical Panel on Job Site: (Circle One) <br /> Zinsco OE SqD QC SgDHomeline Cutler Hamner C H BR 1!TR <br /> .Brown handle Challenger style <br /> Bryactt FPS Crouse -Hinds Murray Westinghouse Fuse Box <br /> 10. Quad breakers required: <br /> • <br /> 11, Sub - Panel required: <br /> 1 2,Attic Sparc over all work areas; <br /> Work Requested Date & Time; <br /> E'rrs: <br /> PLEASE FAX TO: , 2 a THANK YOTJ <br /> ePfri <br /> Z`D 11 <br /> q--°Y <br />