HomeMy WebLinkAbout6417 W. 44th PlaceFORM (M) 414 -02 -1123 XCEL ENERGY 9
ADDREt e { p t (` CITY- 10 COf1NTY FLOOR ,y � F APT NO Y
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CUS oMER NAME (PR Nn ,✓� g I ACTION TAKEN
°1 /CG,k;,^'Oy ❑ NO SHUT OFF
n SPECIFY El APPLIANCE OFF
OWNER TENANT AGENT OTHER D ❑. BOTH APPL.& METER
i (5` METER SHUT OFF
HAMRD -
CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD.THIS EQUIPMENT MUST NOT BE PUT BACK IN
i SERVICE UNTIL REPAIRS AND ATHOROUGH INSPECTION HAVE BEEN MADE BY A QUALIFIED CONTRACTOR, CONTACTYOUR LOCAL
BUILDING DEPARTMENT FOR CODE AND PERMIT REQUIREMENTS PRIOR TO PERFORMING REPAIR WORK.
NAME ANO OF .g PIANCE rL {�
Ff '`�.(��d `££?f�� f' kil g a { ';e
CONDITION TO BE C'OFp RECTEf) ,{.,,,, - ( 8 /
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DATE