Information
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Service order number
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Customer Address
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Connection date
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Conducted on
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Prepared by
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Purpose of form
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Pole Owner
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Pole ID
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Pole address
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Pole GPS Co-ordinates
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Pole type
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Is the pole located on a ROW,shared driveway or long driveway?
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Photo of pole
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Equipment connected
- Fiber terminal
- Copper terminal
- Fiber service lead
- Copper service lead
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Pole Red Tagged?
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Pole Red Tagged?
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Pole user
- Power
- Chorus
- Other
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Who's the additional user? I.e. Vodafone, Telecom
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Any additional spans with the same criteria as above?<br>Note: If there is different criteria another form will be required.
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Pole condition
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Why?
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Add media
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2nd pole ID
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2nd pole GPS co-ordinates
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2nd Pole photo
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This there a 3rd pole with the same criteria?
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3rd pole ID
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3rd pole GPS co-ordinates
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3rd pole photo
