FTTP-CR051111 Nov 11 05 11 : 19a p. 1
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T H E • C $ T Y O F
COPPELL
S , $ 9
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
ith 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 /,�f,4$'/1/E rE, ( A/ 5- 71
AP/
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Location / AppIicant's WorkOrder # (if applcable)7,7/2-'76 4 P
Xo e / j44 . / Itd
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Sub-contractor Comp. y Name ,e4.--,9, 1 )/ /c
24 hr.Contact Number "77, - FrO / 3 f.
Date of Verification Appointment l/////O
Time of Verification Appointment 7 3 a
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
Inspected by GHY Jt/L of Utilities Maintenance Division on //-//-or ,//oo hi
nd found to b acceptable not acceptable because
bllow-up needed ,NES Follow-up scheduled for
•
• Inspected by • of Streets Maintenance Division on
nd found to be acceptable /not acceptable because
'ollow-up needed? NO/ YES Follow-up scheduled for
A copy of this completed notice is to be provided to: t
City of Coppell Engineeting Dept. •
255 Parkway Blvd., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570
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Nov 11 05 11 : 18a
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T H E • C I T Y • 0 F
COPPELL
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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
ith Utility & Streets personnel to verify that your project has been completed to City of .
(* ppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name b 5 T„
Project Location / Applicant's WorkOrder# or applcable)7f
0eA -r,AJ. //ti'/ -7 /Ve 4#717;Zif>G liiAzr/fX1 jG
Sub-contractor Company Name if-'41- .g/yj
24 hr..Contact Number <77, - Fre) • 6 /3 f.
Date of Verification Appointment // kl b
Time of Verification Appointment 7 : 9 e)
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELI.PERSONNEL
_... .
Inspected of Utilities Maintefrance Division.on .//-//- ,//.Oo9rr •
zd found to be ' 'ceptabl•2/not acceptable.:because •
•
711ow-up needed NOJ.YES _Follow-up scheduled for
Inspected by of Streets Maintenance Division on _
zd found to be acceptable/not•acceptable because
ollow-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