Proof of Acceptable Radio Coverage

Proof of Acceptable Radio Coverage

Project Information

Applicant Name*

Applicant Email*

Project Name*

Site Address*

Number, Street, Bldg

Site City*

Site State*

Site Zip Code*

PMT Number

Please provide PMT number associated with project if known.

Radio Coverage Testing Contractor*

FCC License #

Site Contact*

Site Contact Phone*

Phone

Billing Information

ATTENTION: The Plan Review fee rate is $261.00 per hour. An invoice from the City Treasurer's Office will be mailed to the Billing Information on this form.

Company/Person Paying for Inspection*

Attention

Billing Address*

Number, Street, Bldg

Billing City*

Billing State*

Billing Zip Code*

Billing Phone*

Phone

File Upload*

Coverage/Compliance Report Test Results, FCC License/Certifications

Drag and drop files here or

Send me a copy of my responses

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