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FW PROJECT <br />P.341264 <br />Job Location: 111 W 1ST ST <br />WFMT PROJECT <br />F.3082196 <br />(7) County Veterans • <br />7 Services Office <br />O <br />J <br />tiallyCounty Attdriley <br />COMMUNITY NAME <br />NAME: GRAND ISLAND <br />CRY: GRAND ISLAND <br />ENGINEERING CONTACT <br />NAME: TREVOR MATUSZEWSKI <br />PHONE: 308.534.8160 <br />Hall County Electi <br />Commissioner <br />CONTRACT ENGINEER <br />NAME: AMY CHALUP <br />COMPANY: KILLION COM <br />E Court St <br />• F.. <br />44 s <br />CONSTRUCTION COORDINATOR <br />NAME: TREVOR MATUSZEWSKI NAME: NA TOWNSHIP: 11 <br />PHONE: 308.534.8160 PHONE: NA RANGE: 9W <br />Exhibit "A" 10/08/2025 <br />Narrative/Special Remarks <br />DIG AND EXPOSE 200PR COPPER ON SOUTH SIDE OF W 1ST <br />ST. PLACE A NEW PED. THEN CUT, CLEAR AND CAP <br />REMAINING COPPER. LEAVE ABANDONED COPPER READY <br />TO BE USED IF NEEDED. REMOVE PEDESTAL AND <br />TERMINAL IN OLD PEDESTAL. <br />DEVELOPER CONTACT <br />Held Order Information <br />Service Order # <br />Customer Name: <br />Customer Address: <br />Site Location ID # (BVAPP) <br />Customer Terminal: <br />Cable Assignment: <br />FI: <br />F2. <br />Cross Connect: <br />Misc. Information <br />List all associated projects Permit Information <br />Right of Way Required False <br />State Permit Required False <br />County Permit Required NO <br />Clty Permit Required False <br />Additional Permit Information <br />FW Contracts: <br />REVISION DESCRIPTION <br />Trench Open Date: <br />Cud Sheets: False <br />RZ <br />CZ <br />NOTIFY CONVERSATION NUMBER <br />REVISIONS <br />ECD: N/A <br />WC CW: GDISNENW <br />SPLICING COORDINATOR SECTION: 15 <br />WEIR AS WT R COMM reel== W COMM <br />AWL 1E2N TIE PROPEI n OF MD IDK ISM N <br />OMWaD. MU 0R u® FOR MIT NOOK NIe0V1 <br />DESC: HALL COUNTY COURT HOUSE <br />U <br />EXCH KEY: 3879 <br />SCALE: NTS <br />REM KEY: <br />DATE: 8.29.25 <br />