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ASPHALT & CONCRETE BUY I. INC. <br /> WORKSHEET NO YE:S NAME CALF BACK DATE <br /> TREE STUMPS 1:1 GIB ? ADDRESS C_ , <br /> TREE ROOTS ;� ❑ � <br /> SPRINKL NG SYSTEM ❑ 2 CI l ZIP -- I <br /> - r <br /> PHONE WIRES ❑ ---._______. <br /> ELECTRIC WIRES ❑ <br /> HOME PHONE DAY PHONE CABLE V�l <br /> ❑ },� �-D� � �� "�� J •�____ --------- _ -- <br /> WATER SHUT OFF Ik ❑ APPOINTMENT LEAD SOURCE DATE SOLD <br /> CONCRETE ❑ - 2 ---- - - - - <br /> D RA N AG E PROBLEMS ❑ <br /> 311�1 ' <br /> GRADE CHANGE ❑ <br /> TIME L) <br /> HEAV NG ❑ {� LEAD+ <br /> OVERHEAD LINES ❑ <br /> TREE LIMBS ❑ APPOINTMENT SALESPERSON <br /> ROOF OVERIANG ❑ CIRCLE MAP CO-OD - <br /> GAS LINE Cl I <br /> TIME _ <br /> SAW CUT AT S ❑ - PROP.DIS. AP GR R W P PT WL �' � - <br /> .lt <br /> EXCAVATE SCHEDULER: PG S/P El <br /> BASE <br /> COMMENTS: <br /> EC <br /> JACK s . ■ <br /> HAMMERIC <br /> EXTRA <br /> TRUCKS OUT . . <br /> SAW CUT <br /> EXTRA TRK • . . r. . <br /> LOADS IN <br /> CLAY <br /> BARRIER . .1 . l ■ <br /> f <br /> WITH ■ <br /> Own. <br /> 7 CREW. <br /> ACCT.PROT.I • _ <br /> R _• <br /> r 0 <br /> C.------------ <br /> - <br /> O SEAL. <br /> KEYSTONE ' <br /> r — -T!MBERS --- <br /> CUSTOMER TO ADJUST SUR- <br /> ROUNDING HEIGHTS TO MATCH <br /> . . . . . . . . . . . . . <br /> FINISHED EDGES AS DESIRE <br /> Regarding this installation is everything you wanted in writing? We have received your installation booklet Customer agrees to pay any 1equired Derma fees 7 YES E t <br /> nEGai <br /> 'r'` "fl TT T?Tir"'!Trr rTTUV V9M CST rTTTMW R T N UWnY -- <br />