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1-877-Fiber99
Structured Cabling Site Survey
Structured Cabling Site Survey
Your Name
*
First
Last
Your Email
*
Date
MM slash DD slash YYYY
Client Name
Contact Name
First
Last
Contact Phone
Address where work will be performed
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Who, if anyone, will walk the job with technician?
Estimated client budget
Please provide a detailed scope of work to be performed:
Cabling/Fiber distances and/or limitations?
Does the site have open or closing times, or special after-hours needs?
Yes
No
If so, what are they?
How high is the ceiling?
What type of ceiling?
Open
Drop
Hard Coat
Other
Fiber environment
Plenum
Riser
Outdoor
What type of pathway is there?
J-hook
EMT
PVC
No existing pathway
Other
Is it new construction or retro fit?
New
Retro fit
Describe existing infrastructure (if any) in detail:
Jacks/Faceplates brand and color
Brand
Color
Describe patch panels/wire management requirements:
What types of walls are there?
Drywall
Block
Tilt wall
Other
Are there existing penetrations or are we bringing/installing them?
Existing
We are bringing/installing
New or existing MDF/IDF?
New
Existing
Will a lift be required for installation?
Yes
No
Please provide any additional relevant details:
Please upload any site photographs or prints.
Drop files here or
Select files
Max. file size: 128 MB.