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NOTE
Permit required do not start
work until permit is received
STATE HY, ----
VILLAGE
CITY
COUNTY
U. B. STRUCTURES
TYPE OWNER RE�:/r.RKS I TEL.
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NOT FOR DISCLOSURE OUTSIDE NWB TEL CO EXCEPT
® Northwestern Bell
NPA
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Permits Required
M eti/AM
Record Print.
49
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1300
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BY WRITTEN AGREEMENT
CSA
Yes
D istrict
MILS / Sri c_
Air Pressure
Yes
No.
Carrier Pairs
Yes
Designed Circuits
Yes o
Town or Wire Center
144.4EL
Taper Codes
Placing `r+�/ r / I \ \ _
r /
Depth Other
Conformance Test.
Yes
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Print
Serv. Date
1—Is-88
Comp. Date
I i-1E- 88
Engr.
Phone #
62e 9 -341'8
Tracer
/41,4"/s
JO/Est M
Z6678