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IUEC Local 33 Job Card
Please fill out all information before submitting.
Mechanics Name
Apprentice Name:
Company Name
Date:
Job Name
State Permit #
Address
City
State
(chose one)
Iowa
South Dakota
Illinois
Nebraska
County
Type of Job
(chose one)
New Construction
Modernization
Repair
Unloaded By:
Adjusted By:
State Test By:
State ID Issued:
Type of Equiptment:
(chose one)
Hydraulic
Traction
Escalator
Dumbwaiter
Residential
Hydraulic
Information:
Hole less
In Ground
Hole
Information:
Digging Hole
Assisting Hole
Traction
Information:
Machine Beams
Reinforced Slab
Jack Length:
Ft.
Drilling Co.
Expenses
Primary:
Zone 1
Zone 2
Per Diem
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