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Expense Job — Site Information ( for non-estimated Work) <br /> PNi#---gggo 721 <br /> Name& Lan ID: .,Vi.) SIP,* <br /> .2)#3j%t <br /> Address: <br /> City or County name:.�>'7�c-&"�y.� , �`.e�•� �C���H of <br /> CPA: <br /> CPA map attached? ❑ YES ❑ NO <br /> Description of wort:needed: L Ze& AF <br /> Work Location Sketch <br /> S <br /> -------------------- ------------------------------------------------ -------------- <br /> - <br /> Q, <br /> �rJ Q <br /> Excavation Location Sketch Requirements: <br /> 1. Provide dimension from cross street 1 and cross street 2 <br /> 2. Dimension should reference as back of walk,edge of pavement or center line <br /> 3. Indicate North Arrow <br />