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Haynes Electric LLC - Professional Electrical Services

276-832-2209

Job Title *

Customer * Status

Service Type

Electrician-specific information that matters for the job

Main Panel Amps Main Breaker Type

Sub-Panels Panel Location

Grounding System

Permit Required Inspection Required

Permit Number Permit Status

Inspection Date Inspection Notes

Utility Company Account Number

Disconnect Required

Utility Contact Date Reconnect Scheduled

Access Restrictions

Ladder Height Needed Trip Hazards

Confined Space Work Animals Present

Materials List

Special Equipment

Check Truck Stock Supplier Order Needed

Quoted Amount Deposit Collected Balance Due

Next Action Next Action Date

Scheduled Date Start Time End Time

Crew Lead (Assigned To) Estimated Hours Crew Size

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