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Authorization to Perform Work

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The undersigned owner of the below listed property, hereby authorizes MUS personnel and/or representatives to install and run cables for the services of telecommunications to the property.

This shall be your good and sufficient authority to complete work to be done.

OWNER Signature*
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Printed Owner Name*
First Last
Landlord Address*
Street Address Address Line 2 City State ZIP Code
Address
Street Address Address Line 2 City State ZIP Code
Name of Renter
First Last
Date
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The power lines are
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- Underground
Email
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