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EMPIRE CITY SUBWAY COMPANY (LTD)

APPLICATION FOR MANHOLE OPENING (11/1/2001)

E-MAIL: ECS.Amos@Verizon.com

LOTUS NOTES: ECS Amos

FAX#: 718-620-9116

WORK PERFORMED BY THE FOLLOWING:

TELEPHONE #

CONTACT NAME

COMPANY NAME

FAX #

NATURE OF WORK (CHECK ONE)

DATE M/H OPENED

TENANT'S NAME

LOCATION

ECS M/H #

RODDING/ROPING

CONDUIT CONSTRUCTION

DUCT SELECTION

CABLE/INNERDUCT PLACEMENT

SPLICING

MAINTENANCE(NO FAILURE)

OTHER

CABLE FAILURE

RODDING/ROPING

CONDUIT CONSTRUCTION

DUCT SELECTION

CABLE/INNERDUCT PLACEMENT

SPLICING

MAINTENANCE(NO FAILURE)

OTHER

CABLE FAILURE

RODDING/ROPING

CONDUIT CONSTRUCTION

DUCT SELECTION

CABLE/INNERDUCT PLACEMENT

SPLICING

MAINTENANCE(NO FAILURE)

OTHER

CABLE FAILURE

RODDING/ROPING

CONDUIT CONSTRUCTION

DUCT SELECTION

CABLE/INNERDUCT PLACEMENT

SPLICING

MAINTENANCE(NO FAILURE)

OTHER

CABLE FAILURE

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