Joint-Use Structural Design Criteria Utility Specifications (To be completed by electric utility)

Customer name *

Contact name *

Project name *

Project address

City *

State *

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Fax

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City*

State*

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Zip code*

Construction start date

(Ex: 6/25/2009 or Jun 25, 2009)

Construction type

Line voltage(s)

Number of conductors

Conductor size

Number of neutral/shield wires

Neutral/shield wire size

Maximum span

Line angle range

to degrees

Maximum design tension

Conductor

lbs.

Shield/Neutral

lbs.

60 degree Fahrenheit tension

Conductor

lbs.

Shield/Neutral

lbs.

Loading conditions (Example - NESC heavy loading, Grade B construction)

Pole height (above ground), range

to

Typical soil type

Please fax your drawings and/or sketches, such as the ones shown here, to LWS at 402-643-4374 and check the box below.

Drawings/sketches are being faxed.