Austin Place-PT 960413The City With A Beautiful Future BORE / STREET CUT/SAW CUT
PERMIT
IN RIGHT-OF-WAY / EASEMENT / PRIVATE PROPERTY
Engineering Department
PERMIT FEE: $100.00
(No Charge to Franchise Utility)
Approved plans mast be provided. Erosion Control is required.
A letter from the Property Owner/Engineer/Developer is required before permit will be issued.
Date: ~/-/J - ~4"
Project Name: /Z]L/¢-~"'/! //)~C ~
t
Permitlssuedto: ('~ ~ [/~c-,,~ (~ ,9~-~ ~"~/~'~/f~
Address: 2_/~ ~ ~X ~ ~//s/~'ff Z,~ ~ / -
Telephone: (/~ "~ 77~/~ / q g. meroencv Telenhone' ~Y
Representing: ~, ~ ,~ ~
Impector: ~~ ~/~7 ~- < Tol?hnne'
General Description of type of work Crovide copy of approved pla~):
Location of Work (location map required):
Contact made with City and/or franchise utility to locate existing utilities?
(48 hours prior to excavation)
YES b/NO
Is any excavation of pavement in street, alley or sidewalk necessary?
(If YES, attach Permit) YES 3/// NO __
Revised 5/95
Bore/Street Cut/Saw Cu~ Permit
Page 2
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
(grading, drainage, vegetation, erosion control).
Any excavation requiring closing of a street or alley must be reported to the Police (304-3600),
Fire (304-3500), Street (304-3546) and Engineering Departments (304-3679) prior to closing.
Attach Work Order (franchise only).
Attach barricade plan / trench safety plan if a lane o~2treet closure is required.
Franch~epresentativeC" ' ' Date "~
Franchise I~e/~or ~r City}~o~ Date __
~ity ~6presentatlve Date
Applicant shall indemnify and forever hold hamaless against each and evew 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, m~eling, or other work by ~e applicant under
pe~it from the City, if such.pe~it is granted.
All franchise utilities must contact 304-3545 or 304-3546 for trench, ditch and open pit
inspections prior to backfill. Backfilling must meet all construction standards approved by ~e
City of Coppell.
l borepmt.frm
C.W. YOUNG CONSTRUCTION,..LNC. '"" 1 9 ~ 8 3
09/10/96
VENDOR NUMBER: 00-NOF $100.00
VENDOR NAME: City of Coppell
INVOICE NUMBER:
INVOICE AMOUNT: .00 INVOICE DATE:
DISCOUNT TAKEN: .00 DISCOUNT DATE:
NET INVOICE: .00 DUE DATE:
DISTRIBUTION: 6145 Materials & Supplies 100.00
Street Cut Permit
MANSFIELD, TEXAS 76063
Zl0S. SIXTH AVE,
(817) 477-1414 0 19 18 3
DATE AMOUNT
09/10/96 $100.00
*ONE HUNDRED DOLLARS AND NO CENTS
PAY
TO THE City of Coppell
ORDER
; Date~19
eceived Fro
Addre~,s . ~_Dollars
-' ..... . .
For~
CASH
~1. O
ACCOUN1 - · CHECK
-- MONEY
BALANC~ ORDE~
DUE