Fillable City of White Plains Electrical Generator Affidavit (White Plains, NY)

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City of White Plains Electrical Generator Affidavit (White Plains, NY)

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The City of White Plains Electrical Generator Affidavit (White Plains, NY) form is 1 page long and contains:

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City of White Plains Electrical
Generator Affidavit
Filming Date: Call Time:
Production Title:
Production Company:
Location Manager:
Site Location:
Generator Amperage Rating: Name of Attendant:
Generator Owner, Owner Representative Name, Address, and Telephone Number:
This letter is a statement of intent to employ an electrical generator rated at 200 amps or more on a
film production in the City of White Plains. This generator attendant shall not perform any duties on
the set while the generator is in operation except those involving generator setup and operation,
cabling, and lighting setup.
Name: Title:
Signature Date:
White Plains Building Department
20 Church St. White Plains, NY
Office: (914) 422-1269/ Facsimile: (914) 422-1471
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City of White Plains Electrical Generator Affidavit (White Plains, NY)

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Completed 29 July 2020

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