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ELECTRICAL SERVICE

RESIDENTIAL

COMMERCIAL

Request for Electrical Proposal

First and Last Name

Phone

Email

Street Address

City/State/Zip

Job Description (Please Incude Distances)

Upload Photo of Electrical Meter

Upload supported file (Max 15MB)

Upload Photo of Electrical Panel

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Upload Photo of Project Area

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Upload Photo of Project Area

Upload supported file (Max 15MB)

Upload Photo of Project Area

Upload supported file (Max 15MB)

Upload Photo of Parts

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Property Details (Click All That Apply)

New Location

Existing Location

Attic Above

Basement

Finished Basement

Crawl Space

Attached Garage

Ceiling over 16 Feet

Ceiling Pitched or Vaulted

Include Minor Patching

Include Venting

Include Trenching

Best Days and Time of Day for Work to be Performed (Click All That Apply)

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

Mornings

Mid-Days

Evenings

Thank you! We’ll be in touch.

PHONE :586-201-2430

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