Exemption/Revision Form

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Please correct the field(s) marked in red below:

Please fill this form out online and click on the submit button when you are finished. If necessary, attach additional sheets submitted by email to electric@cityofloveland.org. Metering, Operations, Field Engineering, Standards Engineering, the Division Manager and the Technical Specialist need to approve this form. Please be patient as it goes through this process. Your exemption may or may not be approved for various reasons. If it is not approved, the approval form will explain the reasons why. Once it is reviewed by all groups, the Technical Specialist will email the form you submitted and the approval form signed by the appropriate persons. At this time, you will know if you can or cannot continue with your project.
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I seek exemption from the following section(s):
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I seek revision to the following section(s):
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Name of Project:
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Location of Project:
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This section is responsible for the following problems:
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I request the following exemption or change:
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This practice will maintain or improve the safety and reliability by:
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Applicant:
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Street:
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City, State:
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Phone:
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E-mail:
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