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First Name*
Last Name*
Company*
Business Phone
Address
City
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Enclosure Mounting Type
Supply Voltage
Service
Supply Amperage
Short Circuit Rating
Meter Bypass:Safety Socket (Test Block)Manual Circuit ClosingNo Bypass
Disconnect:Main Circuit BreakerClass "T" Fused Pullout
Distribution:Circuit PanelboardNone
Finish:Light Gray (ANSI 61)Light GreenFederal BrownLight Gray (ANSI 49)WhiteOther
Other colorPlease specify color, if other was selected
Switch:HOA (Hand-Off-Auto)Test Switch
Photo Electric Cell:In WindowField Installed
Time Clock:24 Hour7 DayElectronicMechanical
Lighting Contractor:AmpsPolesControl Voltage
Thermostat:ElectronicMechanical
Cabinet Heater:WattsControl TransformerAmps
Duplex Receptacles:Terminal Block
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