FTTP-CR051018 (3) Oct 20 05 03: 55p p. 1
Page 4 of-J
T H • G 1 T Y • O F
cOJ½ E;LL
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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 J s'/Y/ ( 5 7
L
Project Location I Applicant's.WorkOrder # (if applicable) et":7-6/e7,4-)
()/-2.e 4LT.5.7- //WZ)Yd0 bj Cie
Sub-contractor Company Name ,e/A. rex
24 hr.Contact Number <77a - Y5FO • 4. / 34.
i
Date of Verification Appointment / o/ j 5
Time of Verification Appointment /= p 0 PM
• INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELI.PERSONNEL
• AwN=
Inspected by A. j6 i/7i` of Utilities Maintenance Division on /O-¢4—a ,�,'�v/'ii'
uzd found to be ,cceptable not acceptable because
gollow-up needed? 0 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: 55p p. 2
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