FTTP-CR051115 Nov 15 05 04:02p p. 1
PAge 4 or-7
T H CÔFFELL
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.
F ranchise Utility Name Ati/ it
5'/ J 6 &--/z (b A) 5 7
Project Location / Applicant's WorkOrder # (if applicable)5'Pf L/WA
DOV92 LN
Sub-contractor Company Name tC 41-4-..g/ 63)/el
24 hr.Contact Number .? - 5.57•0 • tT, / 3
Date of Verification Appointment / 1 /157 bir
Time of Verification Appointment
• INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
:• Inspected by t Q.Rod of Utilities Maintenance Division on ,
rnd found to b, ac eptabl• /not acceptable because
Follow-up needed? NO / 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
•
2 z » �
620
880
k # )) ) •
co
2 D L.
§ ‘43 '8 -8
) eq
m $
2 2 \
E @ _
A 2m «
•
E jj .
)°
• k0.
§ J- G /
% %
/ • •
2§ » zz •
3
k E
mot g ¢ 3
� # wAA
o 2222
.$ 77
■ \ % %
§ qq
-k ) 22
? •d
dEO :.,O §O SI AON