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C. Number of cabinets Cabinet dimensions <br /> D. Number of air conditioners Air conditioner description <br /> E. Generator on site? Y N (Circle One) If yes, provide type, size and where to be located. <br /> F. Isolator manufacturer& model no. <br /> G. Duplexer manufacture & model no. <br /> H. Filters manufacture & model no. <br /> I. Controls used in addition to the transmitter/receiver cabinet(s)? Y N Circle One) <br /> If yes, how many? manufacture & model no. <br /> J. Is there a need for additional lease space? Y N Circle Orre) If yes, size needed for <br /> additional lease space? <br /> Note: Lease Amendments Require City Council approval. <br /> Attach any applicable information with your plans to include but not limited to:Photos, Cabinet <br /> Dimensions, etc. <br /> Initial her to indicate specifications are attached. <br /> 13. Underground. <br /> A. Is there a need to upgrade the existing power source? Y N ircle One) <br /> If yes, describe: <br /> B. As a part of thi roject,will Applicant be installing Fiber to serve its Communication's <br /> Facilities? Y / � Circle One) <br /> If yes, describe: <br /> Note: All utilities must be installed within existing utility easements. If there is a need for a new route the City <br /> must approve the location of the proposed utility route. A site survey will be necessary showing the proposed <br /> route which will include a legal description of existing and proposed easement. <br /> 14. Estimated date of proposed installation: 4/4/2016 <br /> 15. Description of scope of Work <br /> (Example: Install 3 new radio units, relocate 3 antennas, add new power plant <br /> Install 3 New antennas with 3 new RRH on new antennas mount and pipe,new DG2 mounted on existin� <br /> handrail, 1 new FC-12 mounted near existin�FC-12 mounted on exitin�handrail <br /> 16. Estimated Value ofthe project.$15,000.00 (used to calculate Construction Permit Fee) <br /> 172909�1 <br /> 4of5 <br />