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Held Order Information <br />Service Order # Customer Terminal: <br />eee <br />Customer Name: Cable Assignment: <br />El: <br />F2: <br />Customer Address: <br />/POINT3 STATE IROAD WELL AVE, WINO ISLNO, NE 6401 Cross Connect: <br />Misc. Information <br />List all associated projects <br />Site Location ID # (BVAPP) <br />FW Contracts: <br />20231.E000015 <br />Permit Information <br />Right of Woy Required False <br />Slate Permit Required False <br />County Permit Required NO <br />City Permit Required False <br />Additional Permit Information <br />Trench Open Date: <br />Cut Sheets: False <br />RZ <br />CZ <br />NOTIFY CONVERSATION NUMBER <br />REVISIONS <br />DATE <br />REVISION DESCRIPTION <br />EXHIBIT "A" 2023/4/6 <br />Job Location: 5 -POINTS STATE BROAD WELL AVE, GRND ISLND, NE 68801 <br />9 <br />s <br />WORK LOCATION <br />W 16T IT <br />WAUGH <br />e <br />C <br />Narrative/Special Remarks <br />THIS IS EXPENSE JOB WILL ELEVATE THE EXISTING <br />CABLE FOR PLACEMENT OF CITY WATER PIPES . <br />DEVELOPER CONTACT <br />FW PROJECT <br />WFIAT PROJECT <br />COMMUNITY NAME <br />ECD: <br />ENGINEERING CONTACT <br />P.107462 <br />F.292705 <br />WANE: GRAND ISLAND, NE <br />CITY: GRAND ISLAND, NE <br />NAME: TREVOR MATUSZEWSKI <br />PHONE: 3065342160 <br />CONTRACT ENGINEER <br />HANE: VIPIN <br />COMPANY: PEARCE SERVICES <br />CONSTRUCTION COORDINATOR <br />NANE: TREVOR MATUSZEWSKI <br />PNOIE: 308-534.160 <br />WC CW: <br />SPLICING COORDINATOR SECTION: <br />NAIL TREVOR MATUSZEWSKI TOWNSHIP: <br />PHONE: 308-5342160 <br />0019NRMS <br />89 <br />TOON <br />0IrU1 W WI M MGM POMO IT fAa1DNT. TIB BMw6S AIR SIO ILTeI{ <br />MAL 'MN TNS NORM IR WWI Ki SOD N SACT CNFROSS ARS IMAM K <br />IPONACA CYO, NI MMD lee ANT P*5SSE moo /RIC 5010 NUL <br />DESC: NE • ODIS • EXP /POINTS STATE BROAD WELL AVE GINS NU <br />EXCH KEY: 3579 <br />RANGE: R9W <br />SCREE: NTS <br />REM <br />KEY: NIA SHEET: 1 OF 2 <br />DATE: 04/064023 <br />• <br />C) <br />r‘, <br />