ST8501-CS 930721Bore/Excavation in Public
Right-Of-Way Permit
City of Coppe!l - Public Works Depar~men:
Da=e:
/zf I73
Permit Issued To: Name:
Address:
Phone:
Emergency Phone:
Pro j ec= Name:
Representing:
InspeC-~or: ~~ ~~
?/pe of Work/General Description:
Phone:
lIave ~ll City and/or Franchise Utilities Been Contacted and
Existinq Utilities Located: YES ~/ NO
Will It Be Necessa~-y to Excavate Street, Alley or Sidewalk
Pavement? YES (attach permit) ~ NO
Representative(s) of the Franchise/Contractor must adhere to all
construction standards approved by. the City of Coppell, which
includes but is not limited to: Compaction of Trenches and Bores,
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.
Any excavation requirinq closing of a street or alley must be
reported to the Police, Fire, and Public Works Departments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
Attach Barricading/Detour Plan if a lane
applic able.
~tive
or street closure is
Franchise Inspecnor/or City Inspec=or
App!icann shall indemnify and forever hold harm. less againsn each
and eve---.; claLm, demand or cause of ac=ion than may be made or come
againsn ;= by reason of or if any way arising out of the closure,
tunneling or other work bv the
blocking, excavating, cunning, ·
applican= under permit from =he Ci=y, if such perm. i= is granted.
PE~IT.PI[B
Ail contractors will contact Public Works @ 462-8495 to have
trenches and/or open cuts inspected prior to back fill operation
taking place. Staff will be sent to inspect the project.
* NOWET BORES ALLOWED!