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APPROVALS/SIGNATURES TO PERFORM THE WORK WHILE ELECTRICALLY ENERGIZED FME Director Electrically Qualified Personnel Date Energized Electrical Work Permit. ENERGIZED ELECTRICAL WORK PERMIT 1. TO BE COMPLETED BY THE REQUESTER 1 Description of circuit/equipment/job location 3 Justification of why the circuit/equipment cannot be de-energized or the work deferred until the next scheduled outage Requester Title Date 1 Detailed job description procedure to be used in performing the above detailed...

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