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NOTE
Permit required do not start
wcrk until permit is received
STATE HY.
`,PILLAGE n
CITY I �EDt1I�
COUNTY
U. S. STRUCTURES
TYPE IOWNER] REMARKS _i44___
Sewer 1/60/F/ �_ ITS_
Water I'IA Ala- LI 'ito1:3 _ _
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E*i2ctric '1^10 471- -1670/ k3p'/0/70F
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NOT FOR DISCLOSURE OUTSIDE NWB TEL CO EXCEPT BY WRITTEN AGREEMENT --
Northwestern Bell
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Permits Required
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Record Print.
49
Serv. Date
/i - /s- 6'8
R/Z
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Comp. Date
//_/S- 8
NNX
4-78
CSA
Yes
District
/"IILS /_S71L
Air Pressure
Yes
No
Carrier Pairs
Yes
Town or Wire Center
1%4 MEL
Taper Codes 4/a/r7�
des 1 No
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Phone N
5�9 - _ef8
Tracer
,DIALS
Designed Circuits
Yes
Placing gibThri735Nf/ "
Wire �o
Depth Other
Conformance Test.
Yes No
JO/Est
21,o/o/i6
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