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Expense Job — Site Information ( for non estimated work) <br /> PM##_ 6173 (IV-'O Go-.i gvk #� t�✓ Gok,�.ry) <br /> Name& Lan ID: 14A ,#, IROG-/6 <br /> Address:_ ,?— q Q cool,/,04,E , <br /> City or County name: <br /> CPA. <br /> CPA map attached? ❑ VES ❑ NO . <br /> Description of work needed: <br /> Work Location Sketch <br /> Ccs/'PG e <br /> - 3 W, <br /> Gil 5. <br /> Z:16 <br /> , 9° <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 />