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Untitled - AT&T Clec Online

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Southwestern Bell Telephone<br />

Retention Period: Active, Plus 5 Years<br />

PRE-OCCUPANCY CONDUIT SURVEY<br />

FIRM'S NAME:<br />

AGREEMENT NO: TYPE:<br />

APPLICATION NO: Wire Center (CATV, Telecom, Other)<br />

Item<br />

#<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

9<br />

10<br />

11<br />

12<br />

13<br />

14<br />

15<br />

16<br />

17<br />

18<br />

19<br />

20<br />

Oper.<br />

#<br />

Record<br />

#<br />

Manhole<br />

#<br />

Street Address<br />

Distance to<br />

Next Manhole<br />

(Ctr to Ctr)<br />

TOTAL 0<br />

Proposed<br />

Duct or<br />

Innerduct<br />

Make Ready<br />

Work<br />

Y or N<br />

Number of Cables Splice Information Manhole # Details<br />

Size of Cable (O.D. Inches) Splice Information Manhole # Details<br />

Slack Loop Information Manhole # Details<br />

Slack Loop Information Manhole # Details<br />

SIGNED: DATE: SIGNED: DATE:<br />

SWBT’s Representative TIME: Applicant’s Representative TIME:<br />

Official File Copy, If Checked in Red<br />

Make Ready Description<br />

SW-9435

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