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Pacific Bath Company Job Survey <br /> Customer Name:_ �,t (� 1*6n Phone:AA1-5)-81(0 1 Date: Z JC�L. <br /> Physical Address:1'13 - f]t3- RI �Et �VP �- SSL <br /> Consultant&Cell I � laA e7nW24 Type of lob: WIB GIS Bathtub <br /> Plumbing: Left Right Center WIB/Pan/Tub color: hlte Biscuit FInIshC2D BN LuxStone Walls: YES NO <br /> All Walls White Biscuit White Brick VC-Dune VC-Sandbar Cross-Cut Bluette Calacatta Ice Grey <br /> Color Packs: VC Sandbar/White VC Sandbar/Biscuit VC Dune/White VC Dune/Biscuit <br /> Sub-Floor: Slab Mortar&the ood Crawl Space: YES 6O) Tank Booster: YES Ne <br /> Back of Bathroom <br /> ,1 <br /> n1 12-11-AH+ <br /> I V <br /> i <br /> t —I <br /> Special Instructions: L^ �- 1 r <br /> �Eldo5.2 mu-v)' As— <br /> 0 - <br /> By signing below,customer acknowledges and accepts the work being completed. This"Job Survey"will be part of the agreement. <br /> Customer Signatur . /9 99 501:4 F <br /> )_k, Date <br /> rl /aa <br /> Scanned with CamScanner <br />