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P S C56 Drop Bur # _ Date / // ' Node:l i r Bury'Drop Forrrl <br /> l@OMC StJ7'Dro Bury#:2 ---- — . <br /> • <br /> .. _..____._..�;. �:a .,� ..,. ... .,-__, .-- `•=hon - <br /> et T. ."..1.",:_.. tp'- {, �.. _Gross tfee: - :'.� ._.�... <br /> add�ess:_ ,...������+-�..r — ���!a 29� <br /> [Service Effecting []out of Service ❑PendingInstall QTemped Tech#: gosh Tech Cell' 26--7 t. <br /> Priority Level: D1-Commercial 02•-New Cust/SVc Drop Im*aired/Can't Temp U 3-Svc Drop impaired/Can Temp_ -----_ <br /> T pe of Bury: STH Footage ROW Footage Permit Re+aired: Y —�7 <br /> Back Yard Easement:YEN)♦ <br /> — — -• •plantin Strl Yel.N© -Sprinkler3ysteri' -N " ."._ <br /> Sldewalkl3ole--- _ '"----.'"-i",":-.1 �— g p"— — � �NQ <br /> _�. Y <br /> Driveway Bore 1 Sidewalk: Yi♦ © Septic Field: __ _ <br /> _ � N <br /> —_ } Road Edge: YU( ND Drain Pipe: _� Y■ _ <br /> Randsca+e Bore y/ NQ� <br /> t Curb: Y� N Private Water: <br /> Road Bore - —Mr'T — — YQ Np <br /> ----- __ I Hard Surface Total: fro` Private Wiring: <br /> Soft Surface i What Kind <br /> Total Bury: , <br /> Total; (tn _— .__�_ -- Y—_ - -- -- _- -� , <br /> Total.._ 13'8 - <br /> Customer Home For Bur :YM N�M Cali Customer First Yrk NM Best#For Customer: w+Q� _ —_1 <br /> Comments �� <br /> �, Existing Conduit Location: /ROW Existing Conduit length: Ft. <br /> Existing Conduit:N/1 g <br /> CUSTOMER CONTACTED AND REViEWED ROUTING OF NEW DROP Yr I NOT. HOME, LEFT DOOR TAG <br /> —y <br /> Being the bwner of the above property, <br /> I hereby give my permission to Comcast,or their duly authorized representative <br /> to bury a service line on my property.Property Owner's Signature:>G __ <br /> leeena <br /> Sewer- Pole- Phone-0 Street Light*0 <br /> Tv- ncisiing Carson- Place Carson- —�— ^ <br /> Q Frontier-d Fire Hydrant-1' vy/ater(lrrigatian- Mail Sox- , <br /> Power-� Catch Basin-® 11. <br /> Gas- �- Point ETC <br /> Sensitive• <br /> Area's:Wetlands Creeks Bar Ditch HI:h Point Low <br /> ShowI Y <br /> • Show Center Line to:Curb 5ldewa k Ped C. BST TY ACT <br /> • <br /> ITEMS EST QTS.' ACT QTY ITEMS EST QTY' _ ACT QT( MA-TLS BST QTS' ACT QTY MA`I'LS <br /> • <br /> IL F-N' <br /> 7 , \ '14Z7 . ri-: <br /> �. <br /> �F !!/`r 1 <br /> ice , 1 /� -t. ' <br /> t Ve <br /> • <br /> • <br /> ). Aff t(1 1/ . • <br /> le.),),Ade ________ <br />