FTTP-CR051018 (2) Oct 20 05 03: 59p p. 1
Page -Iof-
T H E • G I T V 0 F
COPPELL
.,, --- -.!..N , ,,, " ;.j ,
n ��1\�.... .: 0
X As 1 8 9
UTILITY RELOCATION LN 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 j A 4 s'/i 7 E ) E , �b Al 5 T
Pro ect Location / A/pplicant's WorkOrder # or applcable). 3 Z.�/ ,1/ C3
ft,lL/L/4 . / C-b7/1� /5—,V 5 x/199
Sub-contractor Company Name tC `4'/,gjrf�J /tC
24 hr.Contact Number '7 - X jD 4,(, / 3‘.
Date of Verification Appointment /CV/ )D
Time of Verification Appointment /: c v f4'
• INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
piAiNz
:• Inspected by // ol'Eic of Utilities Maintenance Division on /a-;z-,':'—06— , ,;/6"---7
u:d found to be cceptable :not acceptable because
Follow-up needed? O / YES Follow-up scheduled for
•
:• Inspected by of Streets Maintenance Division on ,
tnd 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 °
Z >- Z >- >-
N d N g> ..
C > > ? 7
M - OO ( o Cry
C
N
f0
O > R a
8 Tc:—) � e0
r
tX�� .. 0)
2 L c
6 03 8 8 2 .2
;r ;
� � M
COUcO � � LL
0
o n
_8
N N
pp E E ,L. E
U U Q q` U 3
zrz > z >.
N N
67 Co
_ E 17 "O
C C E C C
to to S S CC). O
C y N a)
UC7O CO w 0 co
11- S S S S X
_S
71 a_ a. a_ Q. ` .
cn M �
ocom c3
ch a m m rn rn
2 'd
d6S :6O SO 02 400