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WORK OR ER Job <br /> /Number <br /> !I . . NAME \ �C*" d 1 h 40� DAYTIME PHONE <br /> MN License#BC002259 WI License#107855 JOB ADDRESS ' "J 6a(e�/j'k�_ THS P GLA <br /> r <br /> PERMIT AREA <br /> Debris Must Be Removed By Owner <br /> Before Start of Project SALES REPRESENTATIVE t N CONTRACT DATE45 �d SIZE D <br /> tL Square With 6G(SE ❑N/AEconomy ❑Top of Prep Height Site,S/taked NiYes L) No <br /> Distance to all property lines and F�Cp LI Top of Slab Height ne <br /> structures marked....................................... L11 N/A NIA❑ 0Fixed Point Height 90.1 C� �{�/'�c�FrmN a o <br /> ❑Leave extra sod&dirt on site 71 & <br /> Remove extra sod dirt from site <br /> Shed/Building Removal. . . . . . . . . . . ... . . Customer❑ Economy❑ N/A ❑Conduit. . . . . . . . . . . Customer❑ Economy❑ N/A <br /> Slab/Asphalt/Sidewalk Removal . . . . . . . . . Customer❑ Economy❑ N/A ❑ Drain/Plumbing/ <br /> Stump Removal. . . . . . . . . . . . . . . . . . . . . Customer LJEconomYx N/A LkIn-floorHeat. . . .!. .Cus1prri ❑ conomy LI N/A <br /> Powerline/Fence/Shed Removal . . . . . . . . . Customer❑ Economy❑ N/A ❑2 x 4 Wall . . .. . . . . . .. .. ... . .� . . .. ..�4, . N/A <br /> 2x6Wall . . .. . . . . .. . . . . . . .. . .. . . . . . . . . . .. .. .. . . . .. .N/A <br /> ?o <br /> — -I <br /> It L <br /> I - <br /> - - - - - #-� - - - _ - - - - _ 1 <br /> - - <br /> 17 <br /> - <br /> _ X51 <br /> r off. <br /> -� - <br /> -_ <br /> TI I <br /> i <br /> _ 'fI <br /> r - - <br /> �� - __ � _ - � � ► _ _ .gid <br /> R <br /> DRAW OR �III <br /> �tw � N H'AR OW <br /> `-- Purchaser's Signature 538AMILLER TRUNK HWY. • DULUTH, MN 55811-1207 • (218) 729-5106 <br /> �r <br />