Transcription of MLGW SERVICE/METER DEMOLITION Work …
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mlgw SERVICE/METER DEMOLITION work request Fax Form Requestor Information General___ Electrician___ Mechanical___ DEMOLITION Other___ Your Company_____ Contact name_____ Contact Phone_____ Contact Cell Phone_____ Contact Email_____ Contact Fax_____ SERVICE ADDRESS #1 Commercial___ Residential___ Is the lot in a subdivision? ___Yes___No Street Address_____Apartment or Suite #_____ City, State, Zip Code_____ Property Owner s Name_____ Contact Phone_____ Electric Service OH____ or UG____ Meter DEMOLITION _____Yes _____No METER #_____ Gas SERVICE/METER DEMOLITION _____Yes _____No METER #_____ Water Meter Removal _____ Yes _____No METER #_____ SERVICE ADDRESS #2 Commercial___ Residential___ Is the lot in a subdivision?
Title: MLGW SERVICE/METER DEMOLITION Work Request Fax Form Author: a089300; a032016 Created Date: 7/11/2012 10:36:57 AM
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