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Pacific Bath Company Job Survey <br /> Customer Name: <br /> 71yaiTgr j Nob ANp Phone: Y.1J 31Y.2 Y9,/" Date: -2 '�3 <br /> Physical Address: 20 r rj 10`64YIFY . wrq 473aQ2 <br /> Consultant&Cell �Alfirf Type of Job: W I B C W15 Bathtub <br /> Plumbing: Left Right Center WIB/Pan/Tub color: Whit Biscuit Finish: PC(SI/ LuxStone Wal : YE NO <br /> Back Wall Color: White Biscuit White Brick VC- Dune Cross-Cut Bluette Calacatt Ice Gre <br /> Side Wall Color: White Biscuit White Brick VC-Dune Cross-Cut Bluette Calacatta ce Gre <br /> Sub-Floor: Slab Mortar&tileo Crawl Space YES NO Tank Booster: YES 1\16:2D <br /> Back of Bathroom I . <br /> At 11 <br /> If --- <br /> ! ji I IIII ! I liI <br /> IV 7 <br /> 1;2 <br /> - <br /> 7 I <br /> 1 . i 7 I i I 1 i I . . i <br /> i I 7 <br /> -- <br /> I <br /> - <br /> I <br /> i 7 7 <br /> o I 1 i <br /> L L <br /> j I II Ii i II ! jl <br /> ( I I I II Illijl <br /> Special Instructions <br /> By signing below,customer acknowledges and accepts the work being completed. This"Job Survey"will be part of the agreement. <br /> Customer Signature: Date: 2 '2;t-a? <br />