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PA9702-PT000725 C D The City With A Beautiful Future A MMO E D DRY BORE / STREET CUT / SAW CUT PERMIT IN RIGHT -OF -WAY / EASEMENT Submit permit request to the Engineering Dept., Town Center, 255 Parkway Blvd. Date: 7 7O PERMIT FEE: $100.00 (No charge to Utility Companies with approved Franchise /ROW Use Agreement) O Plans provided and approved (Erosion Control /safety fences must be installed prior to beginning work) Project Name /Location: A( aex :/ G 7 �it General Contractor: rc f z m- .irt . ; rte . / z17 ,,,fry '( a," -r,---,a,__9 Permit issued to Company /Representative: Gtr / /77 Address: 9 67 K it l'z f - k/,lfrk . Telephone #:( 79 S'O /•- 7 ©00 Emergency Telephone #: ra.149 5 — 7229 Utility Company Represented: O TXU Electric 0 TXU Gas 0 GTE 0 SWBeII Paragon O CoServe Comm 0 CoServe Electric 0 Other r If "Other" is checked, please note that franchise or right -of -way use agreements will be required and need Council approval prior to beginning work. Permit cannot be approved until that time. General Description of work (provide copy of approved plans): aOre: 6 9s ' on / X'iefek7 give/. 7c3 r Was contact made with City and /or utility companies to locate existing utilities? if NO, Reason: YES L NO 0 r Is removal of existing streets, alleys or sidewalks necessary? YES 0 NO EY" if YES, must have City inspection prior to concrete replacement Revised 11/99 Dry Bore / Street Cut / Saw Cut Permit Page 2 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 Manual on Uniform Traffic Control Devices. Area(s) affected must be restored to as good condition as before the commencement of work (grading, drainage, vegetation, and erosion control). > Any excavation requiring closing of a street /alley must be reported prior to closing to the following: Police Department CO 972/304 -3600 Fire Department @ 972/304 -3500 Street Department @ 972/304 -3546 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 9:00 a.m. until 3:00 p.m. only unless otherwise approved by City Engineer. Attach Work Order (franchise only). :> Contact must be made with City and utility companies to locate existing utilities 48 hours prior to beginning of work. Signature of '614 Company Rep—sentative Date G!I 7� z r -oa Signature of Contractor Representative Date Signature of City • - presentative Date (Application with original signatures needs to be submitted to the Engineering Department before approval.) P Comments: 1'v4vrt ?ertr■0 i ec 6 S C -Ie3 v -� ( • I- . Note: Notify City Inspector at 972/304 -3679 prior to beginning work and prior to backfill for concrete, trench, ditch and open pit inspections. (Backftll must meet all construction standards approved by the City of Coppell.) 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. forms /permits /borecut t A NODE C 1 f POOL AREA \\ 5 loom \ 21.6 m STC CENS ` \ \ ® PQUP 6 7 / - CI6B IL" ' 0 I � flair vi - 'i ' I I : I I .J � , COUNTR 'I �I C1603I I W B JR 545297 28.51 27,81 28,0 1 I ANDRE ROWN C1603 49.5 46.0 37,0 J I EAST 545191 TMB 9 6 11 3 LJ COMMUNITY PARK 11.8 11 5.0 3 19 6 .3 0 C16131 I 76,8 48 45.0 . 0 1 9 1 9 1 5 C16 1 — — — — — C1681 T 177,4 197 If iii MIMI AVM( A-CCSA•OC• �� P �yt. - - - - - 302' - - ` q6 \ ,On ' \ I 288 2 8 4 eg 8 o f N~ I_ w� S� cvi 96 1 f 6 4.042/ \ \ — — Il -- ---wit. ail ® $' ' S C . ' N 'S. --N X 6 9 i �� N C160311 261 261 I— 1 ` I n�i C 1603A W j N r. a m 265 l d 545297 [� �, 545297 a � ® 22,8 22,1 24.0 -� I N 26,4 25.4 ' I 48.5 45.0 36.0 Q 49.5 46A 3 it I I 4 7,5 7 3 U —�6,Sj 6 91