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DECO BID TANK LOCATE SOIL SAMPLES <br /> RESIDENTIAL RECORDS FOUND? RUSH <br /> COMMERCIAL CURRENT HEAT SOURCE UTILITIES LOCATE DONE? <br /> CUSTOMER NAME DATE <br /> I 7JM <br /> HOMEOWNER OR BUYER? <br /> SITE ADDRESSHSA � CITY zIPqS <br /> G - 5 - (� �o I g.a fie, �� <br /> 30-MIN HEADS UP? J PHONE 3�US <br /> EMAIL l��v C� <br /> nc+- <br /> FILL TYPE? STANDARD 1 FOAM REMOVAL? Y 1 N MACHINE ACCESS? Y! N <br /> NOTES: , <br /> • � WUDIXAME6TER <br /> FILL GRADE FILL TOTAXJ TANK SIZES 00 CONTENTS <br /> GROUND COVER POWER ONA/N WATER ON?&)/N NEEDS NO PARK SIGNS?Y 1 N <br /> TANK LOCATION <br /> SERVICE REQUESTED:OREXVAL PLIA COVERAGE FOR REMOVALS: �- <br /> ANY OTHER IMORTANT NOTES ABOUT THE SITE: N 6RUO� <br /> ti <br /> BID COMPLETED BY.- <br /> SITE INFO TAKEB BY SITE VISIT SCHEDULED FOR <br /> 30-MIN HEADS UP? PHONE <br /> City of Everett Permit Services <br /> EVERETT Reviewed for Permit 11/19/2024 <br /> W HSMINGTON <br />