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form № 3

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Fill in the application on the company blank
From: / Booth constructing company name /
Director Name
Legal address
Tel/fax:
_______________________
_______________________
_______________________
(_____) ______ _____ _____
To: Mr. Igor Kolgatin
General Director of JSC "Centre of Agricultural Industrial Technologies"
/KyivExpoPlaza exhibition centre/
Date ______ _________, 2013
APPLICATION FOR BOOTH CONSTRUCTION
The company _________________________________________ is the Booth constructor of
/Full name/
the following exposition:
№
Booth Name
Booth Type
/standard, nonstandard, exclusive/
Area,
sq.m
Pavilion, Terminal
No.1,
A, B, C, D
No.2
E, F,
№3
G, H, J, K
Total exposition area covers ____________ sq.m. at the Exhibition __________________.
(Name of exhibition)
The Company ____________________________________ asks KyivExpoPlaza management
/Full name of the Company/
department for permission to transport Company’s equipment in and out of the KyivExpoPlaza exhibition
center for the period from “___” ____________ 2013 to ”___” _____________ 2013.
The exhibition equipment is property of the company _________________________________.
/Full name of the Company/
The list of equipment is added.
Director’s name
__________________________
Company name
__________________________
/Signature, stamp/
Booth Constructing Company Name:_______________________________________________________________
Stand Name:__________________________________________________________________________________
Exhibition Name:_______________________________________________________________________________
Exhibition Time Period: from “___” ___ 200 to “___” ___ __ 200
LIST OF BOOTH CONSTRUCTOR’S PERSONNEL
№
Position
1.
/person
responsible for build up/
2.
/electrical engineer, degree/
Full Name
Tel.
LIST OF BOOTH CONSTRUCTOR’S TRANSPORT VEHICLES
which arrive at KyivExpoPlaza during set up and dismantling
№
Car model
Plate Number
Director’s Name___________________________________________________________________________
/ signature, stamp /
BOOTH PLAN IN 3-D PROJECTION
From: / Booth constructor’s company name /
Director’s Full Name
Exhibition Name
Stand Name
____________________________
____________________________
___________________________
________________ Pavilion №___
Date ______ ___________, 2013
«PLAN»
Booth Architect’s Full name __________________________
Booth Architect’s Signature ________________________
/ stamp /
BOOTH ELECTRICITY SYSTEM PROJECT
Stand Name____________________ Pavilion №_______
Exhibition Name __________________________________
Company Name __________________________________
Example of the BOOTH ELECTRICITY SYSTEM PROJECT in Ukrainian
Дані мережі живлення
ПЗВ 40А/30мА
ПВС5х5
Шинопровід, розподільний пункт, встановлена та розрахункова
потужність
Апарат на вводі, тип, струм
Pp=5кВт
Ip=5,35A
32А
Електроприймач
Умовне позначення на плані
Номер на плані
Рр, кВт
1
2
3
4
ПВС3х1,5
ПВС3х1,5
Маркіровка, довжина
ділянки мережі
ПВС3х1,5
ПВС3х1,5
Марка і переріз
провідника
ПВС3х1,5
ПВС3х1,5
Ін,А
Розчіплював автомату, установка, А
Нагрівальний елемент теплового реле
Уставка, А
ПВС3х1,5
ПВС3х1,5
Пусковий
апарат
ПВС3х1,5
ПВС3х1,5
Апарат відходящої лінії:
Розчіплював або плавка вставка, А
Марка і переріз
Маркіровка, довжина
провідника
ділянки мережи
5
Ip, A
Споживачі стенду
______________________________________________________________________
* Full name, position, signature of ELECTRICIAN responsible for stand electricity system
project.
POWER ENGINEERING SERVICE
APPLICATION
for electric network connection
Exhibition: ________________________________Booth-constructing company_________________________
Name and placing of the stand:____________________________________________________________
Orders
We ask to:
a) connect the feeding cable of the booth ______kWt to the electric board of the Expocentre
b) lay the cable of the Expocentre to the electric board of the stand with wattage_________kWt
c) lay the cable of Expocentre to the stand and set the panel board ____________kWt
d) conduct resistance test of isolation of the electric system of stand by the laboratory of Expocentre __
e) indicate that cable lines of the stand are tested, protocol №__________(DATE)_________________________
* Confirmed requests are accepted till 4 p.m. for connection on the next day. Orders are completed on first come first serve!
Responsible person from booth-constructing company ________________________________________________
The electric system of stand was checked up and the measured data was added to the table
by (name of performer)_________________________________________________________________________
Point of Connection
Cable type
Results of verification of isolation of the electric system, electric
cabels
L1 – 0
L2 - 0
L3 - 0
L1 – L2 L2 – L3 L1 – L3 0 - N
Connected at (time):______________________Electrician (name):________________________________
Provided services and executed works are to be paid
Connection to
5 kWt 220V.
Connection to
5 - 30 kWt 380V.
Connection to
more than 30
kWt 380V.
Lease of
cable/extension
cord
Lease of
electric board
Measures provided
Electrical Works Quality Control Certificate:
Yes
1. Electrical installation works are executed in accordance to the project:
2. Cable lines correspond to the project
3. Electric distribution network and connections are made according to the regulations
4. Automate ratings and RSD* provide safe exploitation
* RSD (residual current protective device)
5. Lighting devices are certificated on using class
6. Wall outlets, extension cords correspond to requirements
7. Electrical earthling of metal constructions are executed and tested
8. A cable network on the floor is protected with ladders
9. Stand electrical power system is tested and corresponds to normative requirements
10. Stand electrical power system provides safe exhibition conducting
11. Connection to the electric board is allowed
O.Kovalchuck
Chief Energy Specialist
/Signature/
EXPLOITATION SERVICE
No
APPLICATION
for water-supply
Exhibition Name_________________________________________________________________________________
Booth constructing company_______________________________________________________________________
Booth constructor’s responsible person_______________________________________________________________
Booth Name, Position (terminal, column)№____________________________________________________________
terminal: A B C D E F G H
Date of placing an order _________Time________
Connecting to the plumbing and sewage system is allowed
EXPLOITATION SERVICE
Manager ‘s Full Name ___________________________________ Signature_________________________________
Works on water-supply were executed by:
(Full name, signature)__________________________________________________ Date____________Time_______
Works were accepted by_______________________________ _______________Date_________Time ___________
/Booth constructor’s full name/ /signature/
Remarks:
______________________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
___________________________________________________________
APPLICATION
for elevated works and suspensions
Name of exhibition ____________________________ Organizer _______________________________
Name of stand ________________________ pavilion № _____, terminal _____, Stand No. _______
Booth constructor _____________________________________________________________________
Request for elevated works and suspensions according to the draft and the plan:
Overall sizes, amount and weight of construction _______________________________________________
Materials which are used ______________________________________________________
Desired height of suspension from the ground ___m. Amount of the foreseen points of suspension __units.
Design load for every point of suspension ____ kg.
Additional documents provided for suspensions of Il and lll categories:
1. License for construction planning and production;
2. Draft and specifications of suspensions.
N.B.: Amendments and supplements to the ratified construction should be indicated in a separate application.
Booth constructor __________________________________________________ __________________
(Full name of the person in charge, position, tel.)
(signature)
Date of submitting of the application to the Expocentre ____________________________________________
APPLICATION FILLED BY THE EXPOCENTRE
№ of application _________ is accepted
«___» ___________ 2012
Coefficient ________________
(indicate 1; 2;)
Date of passing the application to the Performer - « ___» ___________ 2012
From the Expocentre _________________________________________________
________________
(Full name of the person in charge, position, tel)
(signature)
APPLICATION FILLED BY THE PERFORMER
Actual amount of suspension points ____ (__________) units.
Category of suspension complexity -
category №l (up to 30 kg, up to 10 m), quantity _______ units
category №ll (30-100 kg, more than 10 m), quantity _______ units.
category № Ill (more than 100 kg) quantity _______ units
Date of execution of works ____________Time: ______h______min
Remarks ________________________________________________________________________
Work was handed by ___________________________________
(Performer’s full name)
____________
(signature)
Work was accepted by __________________________________
(Customer’s name)
____________
(signature)
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