| Name: | Tyler Mussetter | Phone: | 530-391-7770 |
| Email: | tyler@mussetter.com | Address: | 3102, Knollwood dr., Cameron Park, 95682 |
| APN: | 08214217100 | Nearest Cross Street: | Cambridge |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :20, Total length :6, Total height :4 | Material location: | Driveway |
| Alternative disposition of material: | Leave it on Property | How material was cut and stacked: | I cut and stacked the material myself |
| Number of hours required to do the job: | 6 | Hired someone, how much did it cost: | |
| Applicant agreed to waiver: | yes |
Service Instance | | | |
| Contractor Name: | Admin | Date Serviced (mm/dd/yyyy): | 06/18/2019 |
| Travel Time (in minutes): | 20 | Chipping Time (in minutes): | 19 |
| Actual Pile Size (in feet) | | Total Pile Width: | 3 |
| Total Pile Length: | 6 | Total Pile Height: | 15 |
| Supervisor: | Jose | Crew ID : | |
