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Approval is hereby requested to apply the preference fating assigned under Preference rating Order P-46 to deliveries and to make withdrawals from inventory of material specified in Part D of this form and attachments, if any, required for the construction of distribution facilities for ____2E_______Water Service _____________Public Sanitation Service -------------Gas Service _____________Electric Service to serve the Housing Project hereinafter described. A. Description of housing Project (Information to be furnished by the Builder). Name of Bniidpr Walter B» Bates, Contractor,___________{______________________ Location of Lot 15 and 16 Block 7 Pioneer Heigilts.(N»E»Cor. 10th & Bridger) _____ Las Vegas t_________________Clark____________ '____Nevada »______ (City) (County) (State) If housing construction has already begun, what was the date the first foundation was completed? _________ New construction. If a housing rating has been assigned, give serial number and rating granted Number of dwelling units to be provided: Units in 1-family detached structures __________________________ Units in 1-family semi-detached structures __________________________ Units in 2-family detached structures __________________________ Units in 1-family row house structures __________________________ Units in 2-family row structures __________________________ Units in 3 or more family structures Off ( four f*?Klily) Total Units, All types ___________cina___________ Number of persons in dormitory structures ______________4__________ B. If application has previously been made for the extension of utility service to this project furnish the following information: (a) Form on which application was made (PD-lA, PD-200, or other (specify)_________________!_________ (b) Date of such application ______________________ (c) Serial number of application ______________________ (d) Present status of application ______________________ C. CERTIFICATION BY PRODUCER The undersigned hereby certifies that in its judgment the materials listed in Part D of this form and attachments, if any, are necessary to construct the indicated utility extensions to serve the above described Housing Project in accordance with Housing Utilities Standards. Section 35 (A) of the United States Criminal Code of 18U.S.C.A. 80, makes it a criminal offense to make a false statement or representation to any department or agency of the United States as to any matter within its jurisdiction. BCT 16 1942 Date---------------,---------------------:------------ The undersigned hereby certifies that he executed this application on behalf of, arid by authority of, the utility named and that all of the facts set forth are true to the best of his knowledge and belief.