FTTP-CR051103 Nov 03 05 04: 04p p. 2
Page 4 of 4
T H E G f T Y O 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
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.
1 �7 ,5'j 7 1 (14.14)5 71
Franchise Utility Name � � ��
Project Location / Ap licant's WorkOrde (it appucabie) .? �j� C/-4-1
/11pc44-1te g_ ,DE-Icit5 Zi)# f , M■12,„Fezb,--
Sub-contractor Company Name ' X41 rY x
24 hr.Contact Number .? - Fie) • 6 / 3 L -- ,
Date of Verification Appointment /O/ - ' "'
Time of Verification Appointment 7- ba AIM
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
•:• Inspected by %'r mow' of Utilities Maintenance Division on //-3 -O 5' , ,.7 9t'�
Ind found to be acceptabl 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 -
• Damage Contract Located Utility Item Investigated
•
Date Work Order Type Company YIN Provider Damaged Size Damaged By. Location Of Damage By
CT) 9129/05 3PF01GW Cable Sunset Y Corneas( Feeder bore rig 615-623 Prestwick Guy Varney
Q 4
10/3/05 3PF01GW Water Absolute N City of Coppell Selvice 1' bore rig Peninsula _Guy Vamey
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Nov 03 05 04: 04p p. 1
_ Page•i of-f
T H E • C I T Y • 0 F
COPPELL
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Fx ^ s ` e q
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 /2/ 711 s'Al E y /z Cb�t/ 5 7„
Project Location / Ap lif ant's WorkOrd r # (if applicable) .3-f', -.25/�e
/),Re/adki zi, ,/ z<ipzai / 42.
Sub-contractor Company Name A 41y/9„g/Y1- X
24 hr.Contact Number ?7 .? - FAD • 6 / 3 - f
Date of Verification Appointment / L 2-r7 6 5
Time of Verification Appointment v 4) 1-71-
• INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELI,PERSONNEL
:• Inspected by ',/i. ate--A_ of Utilities Maintenance Division on //-3-o s"-- 1 3'0612/17
and found to b acceptable 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
Nov 03 05 04: 04p p, 4
Damage Contract Located Utility Item •.Investigated.
Dab Work Order Type Company YIN Provider Damaged : Size. Damaged By Location Of Damage. By
9/9/05 3PF01 HC Electric Walland Y Oncor Primary Bore Rig 821 Ashford ' Jeff Wesson