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Company Name:  Phone: Numbers only
Contact Name:  Fax: Numbers only
Email:  Project Name:

Mailing Address:
Street City State ZIP


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Drawing Information Date Comment
Date of This Submission
Date of Model Room Review
Date of Production Installation

Lamp Body Information
Overall Size:
Width Depth Height
Material: Finish: 

Base
size: Material: Finish:

Back Plate
Size: Material: Finish:

Cord Cover
 
Length: Material: Finish:

Socket
Type:
  Material: Finish:

Switching
Type:
  Location: Finish:

Bulb
Type: Max Watt: 

Volts:
Size: Ballast:

Cord
Length:
Color: Plug:
Power Outlet:
Media Connection:
Lampshade/Diffuser Information
Size:
top bottom slant Drop Vertical Ht
Type: Shape:
Material: Color:
Description:
Trim: Color: Piping:
Ring: Drop: Color:
Harp/Uno: Size: Color:
Final: Size: Color:
Special Instructions:
California Title 24 Regulations: Yes No
Variance Form Standard Cord: Yes No
Special Plug Needed: Yes No
Bulbs Included with Lamps: Yes No
Assemble and/or Install Directions: Yes No
Ring Painted for Moisture Resistance: Yes No
Notes:



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