<div class="sub-form extraction-item-###itemOffset###" data-property="extractionPoints" data-item-offset="###itemOffset###" id="sub-form-###itemOffset###"> <div class="js-modal-dialog" role="document"> <div class="modal-content"> <div class="modal-header"> <h3 class="modal-title" id="subform-modal-label-###itemOffset###">Angaben zur Entnahmestelle</h3> <button type="button" class="close" data-dismiss="modal" aria-label="Close"> <span aria-hidden="true">&times;</span> </button> </div> <div class="modal-body"> <div class="form-group control-label-overlay"> <input class="form-control" id="item-###itemOffset###name" type="text" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][name]" required="required" /> <label for="item-###itemOffset###name" class="control-label"> Bezeichnung <span class="required">*</span> </label> </div> <div class="form-row"> <div class="col-12 col-lg-3"> <div class="form-group control-label-overlay label-auto-width"> <input data-town-field="item-###itemOffset###town" data-street-field="item-###itemOffset###street" class="form-control js-zip-field" id="item-###itemOffset###zipCode" type="text" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][zipCode]" required="required" /> <label for="item-###itemOffset###zipCode" class="control-label"> PLZ <span class="required">*</span> </label> </div> </div> <div class="col-12 col-lg-9"> <div class="form-group control-label-overlay"> <input class="form-control js-town-field" id="item-###itemOffset###town" type="text" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][town]" required="required" /> <label for="item-###itemOffset###town" class="control-label"> Ort <span class="required">*</span> </label> </div> </div> </div> <div class="form-row"> <div class="col-12 col-lg-9"> <div class="form-group control-label-overlay"> <input class="form-control" id="item-###itemOffset###street" type="text" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][street]" required="required" /> <label for="item-###itemOffset###street" class="control-label"> Straße <span class="required">*</span> </label> </div> </div> <div class="col-12 col-lg-3"> <div class="form-group control-label-overlay label-auto-width"> <input class="form-control" id="item-###itemOffset###houseNumber" type="text" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][houseNumber]" required="required" /> <label for="item-###itemOffset###houseNumber" class="control-label"> Hausnummer <span class="required">*</span> </label> </div> </div> </div> <div class="form-row"> <div class="col-12 col-lg-6"> <div class="form-group control-label-overlay"> <span class="datepicker-icon"> <svg class="svg-icon svg-date-dims"> <use xlink:href="/typo3conf/ext/egt_order/Resources/Public/Images/icons/sprite.svg#date"/> </svg> </span> <input data-datepicker-format="d.m.Y" data-toggle-period-id="row-new-entry-###itemOffset###" class="form-control validate-required js-period-start" id="item-###itemOffset###startDate" type="date" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][startDate]" value="" required="required" /> <label for="item-###itemOffset###startDate" class="control-label"> Gewünschter Lieferbeginn <span class="required">*</span> </label> </div> </div> <div class="col-12 col-lg-6 only-show-in-first-form"> <div class="form-group control-label-overlay"> <span class="datepicker-icon"> <svg class="svg-icon svg-date-dims"> <use xlink:href="/typo3conf/ext/egt_order/Resources/Public/Images/icons/sprite.svg#date"/> </svg> </span> <input data-datepicker-format="d.m.Y" data-period-start-id="item-###itemOffset###startDate" data-start-offset-months="4" data-start-offset-days="-1" data-prev-date-parent=".sub-form" class="form-control js-prev-copy" id="item-###itemOffset###endDate" type="date" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][endDate]" value="" required="required" /> <label for="item-###itemOffset###endDate" class="control-label"> Lieferende <span class="required">*</span> </label> </div> </div> </div> <div class="form-group skip-validation js-validate-new-entry-row" style="display: none;" id="row-new-entry-###itemOffset###"> <p class="radio-group-info">Ihr gewünschter Lieferbeginn liegt in der Vergangenheit. Handelt es sich bei der Entnahmestelle um einen Einzug? <span class="required">*</span></p> <div class="custom-control custom-radio custom-control-inline"> <input class="custom-control-input validate-required js-validate-new-entry" id="item-###itemOffset###newEntry-1" type="radio" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][newEntry]" value="1" /> <label for="item-###itemOffset###newEntry-1" class="custom-control-label"> Ja </label> </div> <div class="custom-control custom-radio custom-control-inline"> <input class="custom-control-input js-validate-new-entry validate-required js-default-checked" id="item-###itemOffset###newEntry-0" type="radio" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][newEntry]" value="0" /> <label for="item-###itemOffset###newEntry-0" class="custom-control-label"> Nein </label> </div> <div class="invalid-feedback consumption-validation-info"> Der Lieferbeginn kann frühstens heute + 10 Werktage sein </div> </div> <div class="form-row"> <div class="col-12 col-lg-6"> <div class="form-group control-label-overlay row-energyLevel"> <select class="form-control validate-required js-advanced-select js-filter-by-type" id="item-###itemOffset###energyLevel" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][energyLevel]"> <option selected="selected" value="" /> <option data-energy-type="1" class="js-toggle-energyType-1" value="1">Niederspannung ohne LM</option> <option data-energy-type="1" class="js-toggle-energyType-1" value="2">Niederspannung</option> <option data-energy-type="1" class="js-toggle-energyType-1" value="3">Mittelspannung mit Umspannung</option> <option data-energy-type="1" class="js-toggle-energyType-1" value="7">Mittelspannung</option> <option data-energy-type="2" class="js-toggle-energyType-2" value="4">SLP</option> <option data-energy-type="2" class="js-toggle-energyType-2" value="5">RLM</option> </select> <label for="item-###itemOffset###energyLevel" class="control-label"> <span class="et-show-default js-toggle-energyType-1">Spannungsebene</span> <span class="et-show-gas js-toggle-energyType-2">Druckebene</span> <span class="required">*</span> </label> </div> </div> <div class="col-12 col-lg-6"> <div class="form-group control-label-overlay "> <input class="form-control amount-field validate-integer validate-positive js-consumption-field" id="item-###itemOffset###amount" type="text" name="tx_egtorder_request[newRequest][extractionPoints][###itemOffset###][amount]" required="required" /> <label for="item-###itemOffset###amount" class="control-label"> Verbrauch (kWh/a) <span class="required">*</span> </label> <div class="invalid-feedback consumption-validation-info"> Der Verbrauch muss zwischen <span class="js-validation-min"></span> kW/a und <span class="js-validation-max"></span> kW/a liegen </div> </div> </div> </div> <div class="row sub-form-update" style="display: none;"> <div class="col-12"> <a href="#" class="btn btn-primary js-update-subform">Entnahmestelle speichern</a> </div> </div> </div> </div> </div> </div>