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Pacific Bath Company Job Survey <br /> r <br /> Customer Name: /(!�e! VQr n0 n Phone: a0C' (o767Date: 5 Z 3 <br /> Physical Address: I P I 1 5 L F USX <br /> Consultant&Cell �l\Y/1� �11JType of Job: WIB Owls Bathtub <br /> Plumbing: left Right Center WIB/Pan/Tub color: hite iscult Finish: PC BN LuuStone Walls: YES JO <br /> Back Wall Color: White Biscuit White Brick VC-Dune Goss-Cut Bluette Calacatta Ice Grey <br /> Side Wall Color: White Biscuit White Brick -Dune Cross-Cut Bluette Calacatta Ice Grey <br /> Sub-Floor: Slab Mortar&tile ood Crawl Space: ES NO Tank Booster: YES NO /A <br /> Back of Bathroom <br /> I <br /> 17 <br /> _ i t <br /> I t I I <br /> I j <br /> Special Instructions <br /> B signing below,oust mer n I " <br /> By g g o ow edges d accepts the work being completed. This lob Survey"wl,l be part of the agreement. <br /> XCustomer Signature: Date: 16 <br />