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T H E C 1 T Y O F y_
COPPELL
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UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
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Contact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection
with Utility & Streets personnel to verify that your project has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name !L , et,"2"td--
Project Location / Applicant's WorkOrder # (if appGcable3/ Pa/ N6
Sub-contractor Company Name P/1/1 m
24 hr.Contact Number ` g 3
Date of Verification Appointment
Time of Verification Appointment 144
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
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Inspected y
P y //jl/flci4i4,-<< of Utilities Maintenance Division on 5'-10-or' , 7'Jo4r
and found to be cceptable not acceptable because
•
Follow-up needed? NO YES Follow-up scheduled for
•:• Inspected by of Streets Maintenance Division on
and 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.
25S Parkway Blvd., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570
Damage Contract Located Utility Item Investigated At Fauit
Date Work Order Type Company YIN Provider Damaged Size Damaged By Location Of Damage By YIN
cascade/parkside
8/24/05 3PF01 HG Electric , Sunset Y TXU Electric Primary Bore Rig alleyway Paul Durio Y
117/113 Cascade
8/25/05 3PFOIHG Telephone Sunset Y Verizon 50 pair bore rig Way Paul Durio N •
8/30/05 3PF01 HG Sewer Hal-Tec N City of Coppell Service 934 Laguna Paul Durio Y
9/1/05 3PF01HG Water Hal-Tec N City of Coppeli Service 930 Laguna Paul Durio Y
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