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Contact Information
Company Name:
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Address:
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Job Location:
Approximate Start Date:
Expected Job Completion Date:
Facility Information
Hours of Operation:
Ceiling Height:
Floor Thickness:
Loading Dock:
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Yes
No
Loading Dock Size:
Ground Level Door:
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No
Ground Level Door Size:
Crane:
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Yes
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Crane Size:
Any Additional Notes? Fill in the box below.
Available Services
Plant Relocation
Plant Renovation
Machinery Movement
Pit & Other Foundation Work
Complete Electrical Services
Air Supply Services
Pipefitting
HVAC
Services Needed
Electrical:
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Yes
No
Rigging:
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Yes
No
Foundation:
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Yes
No
Piping:
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Yes
No
» Electrical (for this option click here)
Buss Manufacturer:
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American
Bryant
Challenger
Crouse Hinds
Cutler Hammer
Federal Pacific
General Electric
ITE Siemens
Murray
Square D
Sylvania
Thomas & Betts
Wadsworth
Westinghouse
Zinsco
Buss Voltage:
Buss Amperage:
Panel Board Manufacturer:
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American
Bryant
Challenger
Crouse Hinds
Cutler Hammer
Federal Pacific
General Electric
ITE Siemens
Murray
Square D
Sylvania
Thomas & Betts
Wadsworth
Westinghouse
Zinsco
Panel Board Voltage:
Panel Board Amperage:
What is the full load amperage of the equipment?
How far is the power source from the machine including up, over and down?
No. of Crews:
Duration:
Any Additional Notes? Fill in the box below.
Rigging
Machine Manufacturer:
Machine Serial Number:
Machine Weight:
Dimensions:
Height:
Length:
Width:
Pickup Location:
Address:
City:
Zip:
State:
Delivery Location:
Address:
City:
Zip:
State:
For any additional machines please list them here:
No. of Crews:
Duration:
Any Additional Notes? Fill in the box below.
Foundation
Local Soil Condition (if known):
Size and Depth:
Cad Drawings/Print:
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Yes
No
Closest Dimensions From Wall of Footings:
No. of Crews:
Duration:
Any Additional Notes? Fill in the box below.
Piping
Size of Piping:
Length of Run:
Materials to be Used:
What kind of substances are running through pipes?
Are Lifts Required?
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Yes
No
Lift Size:
Lift Type:
Select
Scissors
Boom
No. of Crews:
Duration:
Any Additional Notes? Fill in the box below.
Additional Services
Scope & Project Development:
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Additional Customer Notes
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| 631 Oakland Avenue, Pontiac, Michigan (MI) 48342
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