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Pacific Gas and Electric Company DIVISION CONSTRUCTION <br /> -------------- ._..—._._.. - -...---- - TAG NO. <br /> a _....._ a <br /> DATE REQUESTED: !' "I STREET ADDRESS: I���3 W, I„Ar"GIn F b <br /> DATE TO CONTRACTOR: CROSS STREET: I rAe-ti BW 4 <br /> DATE FROM CONTRACTOR: CITY: <br /> DATE FIELD CHECKED:. l y COUNTY. .. ... <br /> PG&E FOREMAN: N��� PERMIT NUMBER: <br /> CONCRETE DEPTH: ASPHALT DEPTH: pp�� <br /> CIRCLE ONE 4 5" 6' ADD'TL CIRCLE ONE) <br /> FEET INCHES BY FEET INCHES FEET} INCHES BY FEET INCHES <br /> BY `Y ® BY 3 13 <br /> r <br /> BY BY <br /> BY BY <br /> BY BY <br /> SAW <br /> 00 LINEAL,i 1 AC LWEAL CURB& LINEAL <br /> CUT , FEET ``� BERM FEET GUTTER FEET <br /> LAY'c,k RA <br /> q, ' <br /> c <br /> CONTRACTOR'S USE ONLY <br /> DESCRIPTION UNIT COST SQUARE FEET TOTAL <br /> COMPLETION DATE <br /> _ SUMMARY OF ACCOUNTING <br /> MATERIAL CODE ORDER NUMBER OR COST CENTER AMOUNT <br /> svcs-oG 3o gq W4 I <br /> INVOICE TOTAL <br /> VENDOR NAME <br /> VERIFIED BY: <br /> VENDOR NUMBER CONTRACT NUMBER FIELD INVOICE APPROVAL <br />