Blooming Colors-PT 940405Bore/Excavation in Public Right-Of-Way Permit
CiUy of Coppe!l - Public Works Department
Address: ~0
Phone:
Emergency Phone:
'7So 6 ?
Representing:
Inspector:
~e of Work/General Description:
Phone:
I Oo'
Have All City and/or Franchise Utilities Been Contacted and
Existinq Utilities Located: ~ YES NO
will It Be Necessary to Excavate Street, A_~ley 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 requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Depa~_ments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
A=~ach Barricading/Detour Plan if a lane or s=ree~ closure is
applicable.
Franchise/ConCrac~or Representative
Franchise Inspecnor/or City Inspector
Date
~ R~resenta~lve
Applicant shall indemnify and forever hold ha_--n..less against each
and eve~! c!aim, demand or cause of ac=ion =hat may be made or come
against it by reason of or if any way arising out of =he closure,
blocking excavating, cunuing, tunneling, or other work by =he ·
applicann under pe-~n. i= from the ~' if such permit is granted.
PEr,MIT. PIIB
All 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.