FTTP-CR051018 Oct 20 05 03: 57p Kaii�/V p. 1
/ /
Page t or 1
T H E c I T Y o F
COPPELL
,,,,---- . .„, ' ,-i.g .,,i
, s
F . q
x n S 1 s
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
:ontact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection
vith Utility & Streets personnel to verify that your project has been completed to City of
_oppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name Al-7,411,5-211 6 E 4 (G M 5- 71
t�
Project Location / Ap licant's WorkOrder # fit apps cable ri �'t 7�
/26/.4,11(..241,-/ //i4l-le/iAIYA- 7 k)C-5.1Z-4
Sub-contractor Company Name eg-,9•Jirty /C
24 hr.Contact Number '7 - F f O • d,. /3;. Y
r
Date of Verification Appointment / C//g /623
Time of Verification Appointment / 4--' e) e44
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
Inspected by ///15w .7r of Utilities Maintenance Division on ,'c-;i_=--035 , ,1 is/x'7
uu found to bcceptabl /not acceptable because •
4'ollow-up needed? 'YES Follow-up scheduled for
•
:• Inspected by of Streets Maintenance Division on ,
znd found to be acceptable /not acceptable because
•
•
Follow-up needed? NO/ YES Follow-up scheduled for -
•
A copy of this completed notice is to be provided to:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570
Oct 20 05 03: 57p p, 2
4-
�
• >-
a
C5
C5
w 7
C m (j
0
Oi
O
E
w
O
T
O
=
a c,,,a
N
JT
O Ol
2
O m
N
Vr
Fr 0
0 q7
E .ZO9
o
>
0
rt `o
S Z
•
J
T
b• •
•
3 tg a
•
S
t
42 2
O
O =
u_
u-
3
S 0)