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Ill f3M(PB-6 17 uo-18-hni UNITED STATES OF AMERICA WAR PRODUCTION BOARD A PPLIC A TIO N FOR AUTHORITY TO ACQUIRE OR CONSTRUCT F A C IL IT IE S f t a u t h o r i t y t o b e a i n c o n s t r u c t i o n u n d e r L - * l I N C L U D I N G : g j j P R IO R IT IE S ASSISTANCE OR CONTROLLED MATERIALS . TAX AMORTIZATION PRIVILEGES ARE REQUESTED S YES CD NO . C D AMENDMENT TO PREVIOUS AUTHORIZATION. GIVE: SERIAL NO.------------- ANO DATE OF ISSUANCE--------------------- -•_________ '_______________ NAME ANO AOORESS OF APPLICANT ( S t r e e t , C i t y , Z o n * , S t m t * ) r« n j P O S H A P P S O V K D B U D G E T BUMB AV N O . I 2 - R 2 T 6 . 5 T H I S S P A C E FOB WPB U SB O N L Y SERIAL NO. DATE PROJECT AUTHORIZATION ISSUEO EXPIRATION DATE OF AUTHORIZATION PRIMARY DIVISION OR AGENCY SPONSORING AGENCY ( I t A n y ) LTl“ ] Z fFtM E<U & 4r£‘ i w i u r OlMlfe OwMt INSTRUCTIONS - Submit number o f co p ie s ns i n d ic a te d on I n s t r u c t io n s Sheet. HEAD SEPAM 7I IN S T R U C T IO N S CA RE FULLY BEFORE F I L L I N G OUT FORM. S B C T I O H I - TO BE COMPLETED FOR A L L PROJECTS - ( t o t p r e f e c t s c o s ( i n i f e e s t h a n $ 2 5 , 0 0 0 . a m e l o d l n , c o s t o t l a n d , a n d r a q u l r i n , no a q u i p m a n t , e o m p l a t * t h i a s e c t i o n o n l y . ) fell A , DESCRIBE THE PRINCIPAL SERVICES TO BE RENDERED OR PRODUCTS TO BE MANUFACTURED OR PRODUCED. I . WHAT IS THE RELATIONSHIP OF THIS PROJECT TOWAR PRODUCTION, ESSENTIAL CIVILIAN NEEDS, OR PUBLIC HEALTH AND SAFETY. C. GIVE SPECIFIC REASONS WHY THE PROJECT IS SO URGENT THAT IT CANNOT BE DEFERRED FOR THE DURATION OF THE WAR. D. IF A MANUFACTURING PROCESS IS INVOLVED, GIVE BRIEF DESCRIPTION OF THE PROCESS INCLUDING A GENERAL DESCRIPTION OF THE TYPE OF EQUIPMENT REQUIRED. E« STATE WHETHER THIS IS A NEW INDEPENDENT PROJECT OR AN ALTERATION OR AN ADDITION TO AN EXISTING STRUCTURE OR INSTALLATION. F . GIVE A CLEAR CONCISE DESCRIPTION OF THE CONSTRUCTIONS OR INSTALLATION INVOLVED INCLUDING: 111 GENERAL LAYOUT ( P r o j a e t l i m l t a and r a l a t i o n o f stru ctu re s,) (2 ) DESCRIPTION OF STRUCTURES, GIVING TYPE OF CONSTRUCTION (MASONRY, REINFORCED CONCRETE, STEEL, TIMBER, ETC.). e . l SUBMIT A PLAN OR SKETCH SHOWING PRINCIPAL DIMENSIONS. 1ST EXCEPTIONS TO THE CONSTRUCTION LIMITATIONS (SCHEDULE A TO CMP REGULATION 6) REQUIRED FOR THE PROJECT, IN-iNCLUDING MATERIAL OR PRODUCTS RESTRICTED BY APPENDIX I AND EQUIPMENT IN APPENDIX II FOR WHICH SPECIFIC JUSTIFICATION MUST BE G11VEN. SHOW FOR EACH ITEM QUANTITIES REQUIRED, USE TO WHICH THE MATERIAL OR EQUIPMENT WILL BE W T . AND SUFFICIENT REASON TO ESTABLISH THE NECESS ITY FOR THE REQUIRED USE IN VIEW OF THE SHORTAGE OF SUCH MATERIALS AND EQUIPMENT. v N IF YOU HAVE MADE ANY OTHER APPLICATION OR PROPOSAL RELATED TO THIS PROJECTOR A N Y PART STATE: NAM£ 0F AGEI,CY * ANO AOORESS TO WHICH APPLICATION OR PROPOSAL WAS SUBMITTED AND DATE; ACTION TAKEN, AND DATE. I W i ll PUBLIC UTILITY SYSTEMS BE REQUIRED TO CONSTRUCT ANY UTILITY SERVICE EXTENSIONS OR OTHER FACILITIES TO SERVICE TOIS PROJECT. IF ANSWER IS -YES-; SEE INSTRUCTIONS UNDER -SUPPORTING PAPERS TO BE F LED . ELECTRIC POWER YES ? YES WATER J L NO O NO GAS YES NO SEWER Q YES E _ j NO ESTIMATED COST ( D o n o * I n e l u d a c o a t o f o»io*in< . m i ITEM j , BUILDING ANO OTHER c o n s t r u c t i o n 2 . EQUIPMENT (Total) METAL WOR* FEDERAL FUNDS (a) OTHER FUNDS (bl TOTAL U I OTHER MPG. OTHE | | OTHE N. TOTAt