ee
sere : ks AL $ Ai t
NOE ROAG DuetAs Rwen __|
ema re, Aly |F T Z lo
Here Anthens, chal
4 eb et nstatien
nesters | ARO.
eat
iranmrmena | 6 TOWONG ROAD COREYONIC
o|F
‘Sub o toa Cot a
“phone el+ [i |; ie
vwnmsaisd) | £35 ES) h BED
44 Elebcal Work Undertaken
Ts over tnia ing
We Hert si sno No does tiem ceueaa
| | vesl_]nalX
imum cemard in rps pe phase cn compton ‘Soncumars maine capac ams
ion winter mt pe hie :
wWSETACK HK Py STSTEY\ |
Ig pe 2Gon Fasens
LQ STANGS OF S
5-H ths prosoibodeleticg instletin work fled orveus soecor? ‘kal Tne)
‘tyss, quote arevinus conficats number | |
& Typeset delat wok
eee COS]
7 Doe is ntalten wars cud narpreserbed electrical istalton work? veel_]nol
+8 Type of property wnere the electrical installs wOn Work IS CATVISG OL eam ack fcr or pax)
oe
eee ee ad PRESCRIBED
[een eater neee renee Tete ene care coca)lig, NEES stc Assignment Form-PVSolar sr
Feige Faigy Setatens Gieup Py Li. Lave 8 S60 Cheabeh 8: Nalbcurhe VIC 3036 vo
= >
So eke kee Solar Panel System
Installation Date:
emnsne PARRY
Last Name: Hy wT
pevaiaaéman 67 TOWEN® RD | 4a: vane [AS- 6P30-2saw |
subure; CLEARY ONG Install Address:
state VI posteods 3707 Suburb wey
X Same as Owner Details
JER SLA
First Name
Home
OC ate: Postcode:
Emil Home: _ ___ Mobile SUONSEED Scoot
‘ro you replacing le herecureny mere
panels lasses 2 Gre sytem retaled at ins | commen res
cageeneen ne instar? Number of Panels
‘ol ceplecerent pease speci ination of —\b__
pore? cer stent Rated Power Output (i)
1 L_H-egw __]
Property Type: B Resveniat —O) scroot commer! omer
SingleMull Story: DSc Mut i Nurtorofsmsiseae een cars (STCR) ail
SLNLEs Rink Row BuFALO RweRSB? | ASHES
ELECTRICIAN DETAILS
Aateny Chor. ONS, 5S LindE R0GE Roro BurFAle Quer St ALNIo
DESIGNER DETAILS
Aatheny clark __OlteAiGeatl S Line Qi0ce Road Burra River FF ARAB
+ state ae aaove tabale 8 he same
{Sie conmocied system
Aors38\ 6
Anthony claw
WandatanyBecarlion
23 iis