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BDUK_HIE_

Description: FTTC_ETC_PCP2_EO_INTERCEPT_VA Project Code: 890FM Estimate No: IBN7KJDH Page No: 1 OF 1
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Planner: JOAN LIVINGSTONE Planner Tel No: 001133828214 Plan OUC: BKP517 Supp Code: 80096120
Doc Title: TMA Noticing Requirement Exchange: SOLLAS TE COW: LMC Issued: 19/05/2016
Certified By: Certifier Tel No: Company/OUC: Job Type: Duct Certified Date:

-TMA Noticing Requirement- 1

TMA Street works Notice Application Form

Requester Name Additional DEPENDENT ON LOCAL RISK ASSESSMENT


Notes
Estimate Number

Order / Project Ref

Major Work Reference

Required for ALL Jobs: Permit Details Only:


Traffic Point of Location of Permit Permit Permit
USRN Sensitive Map Ref Precise Works Location Intervention Intervention Traffic Management Required Category Cost
JC:MH:F4815366
45902860 No 518166466869 Springfield Avenue (MRT 8A:184) NO

All OS maps reproduced by permission of Ordnance Survey. © Crown copyright 2009. All rights reserved. BT Licence Number 100028040.

BT Works Instructions. IN CONFIDENCE. Copyright. © British Telecommunications plc 2005. Registered Office: 81 Newgate Street, London EC1A 7AJ

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