Title Page

  • TECHNICIAN NAME

  • STORE AND STORE NUMBER

  • LOCATION
  • LOCATION TYPE

  • IF MALL, IS HOTWORK PERMIT REQUIRED?

  • IF MALL, CONTACT INFORMATION FOR MALL PROPERTY MANAGEMENT

  • IS A SECOND TECHNICIAN REQUIRED TO COMPLETE THIS JOB?

  • APPROXIMATE WEIGHT OF THE MATERIAL BEING LIFTED

  • CRANE DISTANCE FROM EDGE OF ROOF

  • HEIGHT OF BUILDING

  • DISTANCE CRANE WOULD SET UP FROM SIDE OF BUILDING (ft.)

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