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5021 DOVER ST 2024-05-22
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5021 DOVER ST 2024-05-22
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Last modified
5/22/2024 12:49:28 PM
Creation date
5/22/2024 11:04:57 AM
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Address Document
Street Name
DOVER ST
Street Number
5021
Imported From Microfiche
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Pacific Bath Company Job Su ve�y_, �.L�P <br /> Customer Name:� r I Q C Y�o V e t Phone:,A 2 S 2 dS L _ ate: g 1-5 Z 3 <br /> Physical Address: S Z <br /> 01 <br /> Consultant&Cell le 3 S q 3 Cl f V Type of Job: WIB WIS Bathtub <br /> Plumbing: Left Right Center WIB/Pan/Tub color- White Biscuit Finish: P LuxStone Wall YES 0 <br /> Back Wall Color: White cult White Brick VC- Cross-Cut Bluette Ca Ice Grey <br /> Side Wall Color: White Biscuit White Brick VC- Dune Cross-Cut Bluette Calacat Ice Grey <br /> Sub-Floor: Slab Mortar&til Wood Crawl SpCBof <br /> S 0 Tank Booster: YES N N/A <br /> Bathroom <br /> I <br /> I <br /> I I LLi <br /> - I i <br /> II II <br /> II <br /> I <br /> I I I I III <br /> I ` I <br /> tr <br /> -0(6- <br /> II I <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 Sign ure: l/ Date: I ZC1 f Z 3 <br />
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