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910 Louisiana Street • Houston, TX 77002
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Telecom Access Form
910 Louisiana - Telecom Access Form
910 Louisiana , Houston, TX 77002
Date
*
Time In
*
Time Out
*
Company Performing Work
*
Person Performing Work
*
ID Number
*
Supervisor Name
*
Phone
*
Tenant work is being done for
*
Tenant Phone Number
*
Person(s) that requested circuit
*
List all communication companies involved with circuit
Description of work
If work performed is telecommunications or cable related, answer the following:
What type of circuit is involved?
Single or Multi D20 Circuit
T-1
DS3 or Greater
Miscellaneous
Manager's Approval (T-1 or greater)
* Required
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