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Fiberlight-PT091102A copy of th• approved p®rmlt must b® on th® job slto at all times. CC: Applicant 6 Public Works Permit File PPELL Page 1 of 4 ~~ Rev. 11 /07 ~r ~~~ o~ ~~-~-L_`'._. 'u~`.~v . ,~ Orig. to Project File ~ '~ F x ,, s ~" , 8 4 ° V f RIGHT-OF-WAY USE PERMIT APPLICATION Permit valid, for 9U calendar days.from date ~f a~~proval Submit permit application to the Engineering Dept., Town Center, 255 Parkway Blvd. Date of Submittal: Applicant's Job # /Work Order # ~~ _~~ - [~ ~ ~ PERMIT FEE: $100.00 (No charge to Utility Companies with approved Franchise/ROW Use Agreement) Refer to the City of Coppell Ordinance No. 2001-944. Certificated Telecom Provider? Y~ N ^ Plans provided and approved (Erosion Control/safety fences must be installed prior to beginning work) Project Name /Location: ~UTNw~TE~ ~'-~~ ~ ~ ~~~a~~ ~T~~' ~'+~ General Contractor:~y~ ~;, ~; ~ ~~ ~~ ,~,~~ Contact # „~"~~~ ~ C~7 ~ `~~~~ 1) ~ Permit issued to Company /Representative: ~~ ~ - Address:c~'UU~ ~ ~ '~~_ ~~~ ~ _\\ 5 ~ ~1~. Telephone #,~ ~~ - `)1 Z~ ~- ~ ~~~h Emergency Telephone #: ~~,~,,,,~ _ Utility Company Represented: ^ Oncor Electric Delivery ^ Time Warner Cable ^ Atmos Energy ^ CoServ Electric/Gas ^ Verizon © Other Fi~U~'NT GeneralDescription of Work (provide four [4J sets of plans): In accordance with Ord. No. 200144. ~-~ . , ~,, ~c<,tn~ `r~ 'txr ~c r a[" Ce~~~ t~ ~.. &~rc.wL k 1x,~ao~~ ram ~~ ~~= ~ PL~Fa- I ~z" IIQ~'~ %~, rNt~ ~`~ ~~ S~~i`(ii+~E5rE2N 1.~LV~~ CNC-~ ~e~5~r2ucfi0rl~ (i2~.,ylnlia ©cN~o,~ J"~~P-~C`j~~'), ~~LLt1~/r~JG j(xtTFtWE.srEi2,~ l ~l~'~ ~To ~(aE I~Jc-~t, TM~,~ C2~~~~ S~u,~~~.s-rER~ ~T ~T~E ~~~-r~~ C 1 zv') ANn ~-s~,~tN~; U~ E~,s-r~~G ~~~tr: Estimated Start Date Estimated Completion Date* * Completion requires submittal of Completion Verification Notice (see page 4) Was contact made with City and/or utility companies to locate existing utilities? if NO, Reason: YES ^ NO ^ Is removal of existing streets, alleys, or sidewalks necessary? YES ^ NO if YES, must have City inspection prior to concrete replacement ^ SBC/ AT&T Right-of-Way Use Permit Application Page 2 of 4 Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at the applicants expense) and barricading according to the Texas :lrlanual on Uniform Traffi€ Controol Devices. vegetation, and erosion control). To schedule Public Works final inspection (Page 4) call 972-462-5155. - Any excavation requiring closing of a streetJalley must be reported prior to closing to the following: Police Department (~ 972-304-3600 Fire Department @ 972-304-3500 Street Department ~ 972-462-5150 Engineering Department ~ 972-304-3679 > Attach barricade plan /trench safety plan if a lane or street closure is required. NOTE: Street closures are allowed from 9: DO a. m. until 3:00 p. m. ONLY unless otherwise approved by City Engineer. Attach Work Order (franchise only) and/or 4 sets of prints showing proposed work. Contacts must be made to locate existing utilities 48 hours prior to beginning work. (Application with original signatures should be submitted to the Engineering Department before approval.) Signature of Utility airy Represernative Primed am Signature of Contractor Representative ~, Signature oi' City Representative Printed Name i Printed Name ~~ Date ~~, ~ o Date L ~ 2, Date r~ Corrunents: ~ ~ L~ `i- ~ l.-~~ 2 K.-S ~-'~I fc. "f1- ~ ~ r7 . Lines must be buried underground at the following ~~ t`-ice'' ~ ~i ~'~'° locations: W. Bethel Rd at Royal Ln; W. Bethel Rd r _[, _ ~ .~.~g ~ , - between Royal Ln and Freeport Pkwy; Southwestern Blvd at S. Coppell Rd; and Denton lap between Braewood and Sandy Lake Rd. Minimum clearances as p~escribed by either stale law or - NOTE: Notify City Inspector at 972-304-3679 prior onc;,r regulations on sag and pole connections with no wires being lower than 12 feet. backf~ll for concrete, trench, ditch and open , Wires will run only along existing line configuration. all construction standards approved by the Cil,,No~new poles will be installed. Applicant shall indemnify and forever hold harmless against the City of Coppell each and every claim, demand or cause of action that may be made or come against it by reason of or if any way arising out of the closure, blocking, excavating, cutting, tunneling, or other work by the applicant under permit from the City, if such permit is granted. [~9„ _ . pdf Copxri~ht.,Mapsco, Inc. Do not reproduces -cop+~or sell.~.i CONTINUED ON MAP lA 17A N -~ ~` ~~ S m Z O 0 W Z F Z Q U BQOK PAGE 1019 !Copyright Mapsco, Inc. Do not reproduce,.. copy or. sell.i SCALE IN MILES CONTINUED ON MAP 21A SCALE IN FEET 0 h ~ 'A ,A COPYRIGHT 2005 by MAPSCO, INC. -ALL RIGHTS RESERVED 0 1000 2000 3000 <: ~j .~ Ul ~Dy~C. ~n~~m~ Ag~~[~'c -~00'~~N ~~1I ' ~ 2 P ~~~F~a 'L C mm c. .. ry~ ry~~{~{ p ~~~~~g -~~g0~0 `C r, i y 1N .^ y D-~D S p<Cy~ rv i ~~m z C N ,m ~a~Aim- Z ~!'a~f^•t iv m~ 0 DDO Z ~ Z y~l?1 m~ ~ ~ AdZ Npyrv --I 3~m ~ Z ~ C D ~~p Z ~ ~ e`o ~a / -, N~~ o a SO a~ ~ r a M C`~S y ~ ~ ~ ~ m ~~- ~ ~~ C _ S ~ ~~~ ~ ~~ ~ r~ a~ d z ~ ~~ ~ r ~ `~ ° ~ t~ ~~ ~~ 00 ~z ~ ~ DENT^N TAP RD, a ~ Z ~ ~ d ~ -O ~ ~ r o '-" ~ ~ z ~ < ~ ~ ~ d 8 Z -o o ~ ~ D r 1 D r r m . 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