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GSM-204-423
Sample form 1: Request for connection
The electrical installation at the following address will be ready for connection
on (date)
......................................................................................................................................
NOTE : At least 4 full working days' notice is required.
Address
......................................................................................................................................
........................................................................................
The installation to be connected is :
tick as appropriate
A completely new installation
TYPE OF EQUIPMENT
Cooker
Water heater
Storage radiators
Other list below
METHOD OF EARTHING tick as appropriate
PME
Cable Sheath
RCD
Other
The electrical installation, summarised above, complies with the current edition of the Regulations for Electrical
Installations published by the Institution of Electrical Engineers and is now ready for connection to xxxxxxxxx
Electric's supply network.
It is understood that xxxxxxxxxx Electric will carry out tests, required by law, prior to connection, but these tests
will NOT confirm that the installation complies with the IEE Wiring Regulations, NOR will its connection imply
that it is approved by xxxxxxxxxx Electric in any way.
Electrical Installer's Name
Address
........................................................................................................................................
...........................................................................................
Signed
................................................................................ Date
31st Oct 01
XXXXXXXXXX ELECTRIC
REQUEST FOR A CONNECTION OF A
CUSTOMER'S INSTALLATION
DETAILS OF INSTALLATION
Give Details
DECLARATION
............................................................................................................
Installation & Configuration: Horizon macro outdoor
68P02902W03-A
CONTROLLED INTRODUCTION
Sample form 1: Request for connection
Telephone No. ...................................
An alteration
CONNECTED LOAD (kW)
NO OF PHASES
1
3
Other
Telephone No. .................................
...............................................
A rewire
Give Details
Inst. 7–21
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