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\/\l yj~u*r&X$T Bt-K ZlotS~S e/* Lers y FG^WPB-3348 UNITED STATES OF AMERICA ? (10 26 14.3) WAR PRODUCTION BOARD STATEMENT OF CONFORMITY TO UTILITIES ORDERS U-l-d OR U-l-h, OR WITH THE HOUSING UTILITIES STANDARDS BUDGET BUREAU NO. 12-R1604 APPROVAL EXPIRES SEPTEMBER 30. 1944 NAME OF UTI LITY Vm Yegaa Land and later Co* • ADDRESS (Street, City, State) 4031 South Snd Street Laa levadA INSTRUCTIONS - Four (4) copies of this form should be filled out upon request of the Federal Housing Administration, Federal Public Housing Administration, U. S.D.A. County War Board, or War Production Board District Office. After it has been signed three (3) copies are to be presented to the builder, two (2) of them for insertion in his application file. This form supersedes Forms WPB-2710 (UF-26) and WPB-1290 (PD—545) for cases to which it is applicable. See additional instruct tions on reverse side. TYPE OF SERVICE REQUESTED ? ELECTRIC [X WATER ? GAS ? STEAM HEAT I IDENTIFICATION OF BU1LDER'S PROJECT L* tie Oossfsion 709 Park Pane© - NAME OF BUI LDER L« H. Oofapton 709 fnxk Paaee STATEMENT OF UTILITY - THE UNDERSIGNED CERTIFIES EITHER (l) THAT UTILITY EXTENSIONS TO SERVE THE ABOVE I DENT IFI ED PROJECT CAN BE BUILT UNDER THE CONDITIONS ESTABLISHED IN UTILITIES ORDERS U-l-d OR U-l-h, OR (2) THAT, IN CASES WHERE UTILITY EXTENSIONS TO SERVE DWELLINGS WILL COST MORE THAN $5,000, THEY CAN BE BUILT WITHIN THE HOUSING UTILITIES STANDARDS AND THE UTILITY WILL FILE AN APPLICATION WITH RESPECT TO THEM ON FORM US TOGAS LAID AID WAflft COUP Mi Y NAME OF UTILITY March IQ* Wm_______________________ BY S I ( OTHORIZED OFFICIAL General Manager DATE TITLE SECTION 3I5(AI OF THE UNITED STATES CRIMINAL CODE, X8U.S.C. SEC. 80, MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION. GX*0— War Hoard H S . 1
