| Name: | Ted Phifer | Phone: | 530-305-8518 |
| Email: | capitolenergyted@hotmail.com | Address: | 1448, Tanglewood Drive, Placerville, 95667 |
| APN: | 105340036000 | Nearest Cross Street: | Luneman |
| Owner of Property: | Yes | Number of Piles: | 1 |
| Pile Size in Feet: | Total width :30, Total length :30, Total height :5 | Material location: | Driveway |
| Alternative disposition of material: | Burn it | 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): | 06/16/2019 |
| Travel Time (in minutes): | 66 | Chipping Time (in minutes): | 0 |
| Actual Pile Size (in feet) | | Total Pile Width: | 5 |
| Total Pile Length: | 90 | Total Pile Height: | 3 |
| Supervisor: | David Justice Sr | Crew ID : | 18007 |
