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p $? . FO^.WPB-3348 UNITED STATES OF AMERICA '^10_26_43, 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. I2-R1604 APPROVAL EXPIRES SEPTEMBER 30. 1944 NAME OF UTILITY fee Vagan fend and later Co* ADDRESS (Street, City, State) 401 Soutfe issl Street fe® Vagan, Hevada 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 (DF-S6) and WPB-1290 (PD-545) for cases to which it is applicable. See additional instruc­tions on reverse side. TYPE OF SERVICE REQUESTED ? ELECTRIC SH WATER dl GAS 0 STEAM HEAT IDENTIFICATION OF BUILDER'S PROJECT Drug Store loomted at 516 So* Wife St* tes Vegas# ’Brnnaa. NAME OF BUI LDER Irwin #» ferula STATEMENT OF UTILITY - THE UNDERSIGNED CERTIFIES EITHER (l) THAT UTILITY EXTENSIONS TO SERVE THE ABOVE 1DENTIFI 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 WITH1N THE HOUS1NG UTILITIES STAN­DARDS AND THE UTILITY WILL FILE AN APPLICATION WITH RESPECT TO THEM ON FORM W£B=-£W. tos Yum fend tad later Q®» by NAME OF UTILITY SIGNATURE Of AUTHORIZED OFFICIAL Bmtmimie as* 1944 General W&mmm DATE ' TITLE SECTION 35U) OF THE UNITED STATES CRIMINAL CODE* 18 U.S.C. SEC. 80, MAKES IT A CR1M1NAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITEO STATES AS TO ANY MATTER WITHIN ITS JURISDICTION. UPO— War Board 8350B— p. t