| Name: | William Perry | Phone: | 530-306-9713 |
| Email: | wjperry@sncglobal.net | Address: | 3400, Texas Hill Road, Placerville, 95667 |
| APN: | 051470061000 | Nearest Cross Street: | Cedar Ravine Rd. |
| Owner of Property: | Yes | Number of Piles: | 3 |
| Pile Size in Feet: | Total width :4, Total length :50, Total height :3 | Material location: | Both |
| 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: | 10 | 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): | 41 | Chipping Time (in minutes): | 59 |
| Actual Pile Size (in feet) | | Total Pile Width: | 67 |
| Total Pile Length: | 21 | Total Pile Height: | 4.5 |
| Supervisor: | Brian K/Juan | Crew ID : | |
