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'Kb FORM PD-545 (6-11-92) UNITED STATES OF AMERICA REDESIGNED WAR PRODUCTION BOARD (10-2) PRODUCERS' APPLICATION FOR APPROVAL OF CONSTRUCTION OF UTILITY FACILITIES FOR A HOUSING PROJECT PURSUANT TO PARAGRAPH s(2> OF PREFERENCE RATING ORDER P-Y6 Do Not Write in This Space APPLICATION NO. AREA CODE BUREAU X)F THE BUDGET NO. 12-R314-42 APPROVAL EXPIRES JUNE 20. 1943 DATE NAME OF UTILITY ADDRESS (Street, City, State) APPROVAL IS HEREBY REQUESTED TO APPLY THE PREFERENCE RATING ASSIGNED UNDER PREFERENCE RATING ORDER P-96 TO DELIVERIES AND TO MAKE WITH­DRAWALS FROM INVENTORY OF MATERIALS SPECIFIED IN PART D OF THIS FORM AND ATTACHMENTS, IF ANY, REQUIRED FOR T HE CONSTRUCT I ON OF DI STR.I BUT1 OH FACILITIES FOR (Check Service) I----1 WATER SERVICE ? GAS SERVICE [HI PUBLIC SANITATION SERVICE I I ELECTRIC SERVICE TO SERVE THE HOUSING PROJECT HEREINAFTER DESCRIBED. ________________________________________________________________________________ A. DESCRIPTION OF HOUSING PROJECT (information to be furnished by the builder) NAME OF BUILDER Y.fl, m TF HOUSING CONSTRUCTION HAS ALREADY BEGUN, WHAT WAS THE DATE THE FIRST FOUNDATION WAS COMPLETED? V /—? / ? y 3 LOCATION OF PROJECT (City, County, State) IF A HOUSING RATING HAS BEEN ASSIGNED, GIVE SERIAL NUMBER AND RATING GRANTED C 'tL O NUMBER OF DWELL I NO 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 TOTAL UN ITS, ALL TYPES NUMBER OF PERSONS IN DORMITORY STRUCTURES B. IF APPLICATION HAS PREVIOUSLY BEEN MADE FOR THE EXTENSION OF UT I LITY SERVICE TO THIS PROJECT FURNISH THE FOLLOWING INFORMATION: (a) FORM ON WHICH APPLICATION WAS MADE (PD-1A, PD-200, OR OTHER) (Specify:) (b) DATE OF SUCH APPLICATION (C) SERIAL NUMBER OF APPLICATION (d) PRESENT STATUS OF APPLICATION c. SUMMARY OF MATERIALS: NOTE: 1. Site facilities means those within the boundaries of the housing project includ­ing those in streets or easements where they bound the project. 2. Approach facilities means those which are not within the boundaries of the housing project and not in streets ABBREV I’ATIONS: DU - DWELLING UNIT L. F. - LINEAR FEET WATER FACILITIES QUANTITIES REQUIRED UNIT PER DU TOTAL DU PER SERVICE SIZE OF SERVICE f/,« m NO. SERVICES j lo L.F. XXXXXX JO PT. DU PER SERVICE SIZE OF SERVICE NO. SERVICES L.F. XXXXXX SERVICE DU PER SERVICE SIZE OF SERVICE NO. SERVICES L.F. XXXXXX TOTAL SERVICES: NUMBER / L.F. PER SERVICE J Q L.F. Jo FT ? SITE 1 1 APPROACH SIZE L.F. XXXXXX 1 1 SITE ? APPROACH SIZE L. F. XXXXXX MAINS [ZH SITE 1 1 APPROACH SIZE L.F. XXXXXX ?? SITE 1 1 APPROACH SIZE L.F. XXXXXX SITE PLUS APPROACH L.F. /]/ FIRE HYDR ANT NO. XXXXXX WEIGHT OF ALL CAST IRON__LN PROPOSED FACILITIES LB. /]/o /y /£ WEIGHT OF ALL STEEL IN PROPOSED FACILITIES LB. TOTAL COST OF ALL MATERIALS IN PROPOSED FACILITIES $ XXXXXX 4 __ GAS FACILITIES ? COOKING ? HOT WATER 1 1 SPACE heating L.F. XXXXXX SERVICE DU PER SERVICE SIZE OF SERV ICE NO. SERVICES DU PER SERVICE S IZE OF SERV ICE NO. SERVICES L.F. XXXXXX DU PER SERVICE SIZE OF SERV ICE NO. SERVICES L. F. XXXXXX TOTAi SERVICES: NUMBER L.F. PER SERVICE L.F. MAINS ? SITE 1 1 APPROACH PRESSURE SIZE L.F. XXXXXX ? SITE 1 1 APPROACH PRESSURE SIZE L.F. XXXXXX 1 1 SITE 1 1 APPROACH PRESSURE SIZE L.F. XXXXXX 1 1 SITE 1 1 APPROACH PRESSURE SIZE L. F. XXXXXX SITE PLUS APPROAC L.F. WEIGHT OF ALL CAST IRON IN PROPOSED FACILITIES LB. WEIGHT OF ALL STEEL IN PROPOSED FACILITIES LB. TOTAL COST OF ALL MATERIALS IN PROPOSED FACILITIES $ XXXXXX GPO—War Board 1978—p. 1