Thomas Comment Dec Adopting Final Arbitrator's Report
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Company Name:

 

Address:

City, State, Zip:

Phone:

Fax:

e-mail:

Contact:

Date:

SureWest's CWO #:

In accordance with the terms of that certain Support Structure Use Agreement between

SureWest Telephone and

dated

, 20

covering the use of ST aerial support structures located at

County of

, State of California, we hereby request permission to

place and maintain certain equipment on certain aerial support structures, as described

and delineated on the sketch and diagram appearing on the attached drawings.

By:

Dated:

, 20 .

Title:

 

ST By:

Dated:

, 20 .

Title

 

Company Name:

Address:

City, State, Zip:

Phone:

Fax:

e-mail:

Contact:

Date:

SureWest's CWO #:

In accordance with the terms of that certain Support Structure Use Agreement between

SureWest Telephone and

dated

,20

covering the use of ST conduit structure located at

County of

, State of California, we hereby request permission

to place and maintain certain equipment in certain conduit structure, as described

and delineated on the sketch and diagram appearing on the attached drawings.

By:

Dated:

, 20 .

Title:

 

ST

Dated:

, 20 .

Title

 

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