FTTP-CR050928 _ _ Page 4 of 4
T H E C I T Y O F
COPPELL q
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UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
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 7/4/4.-5/) 7i: 1- /2 (
P ject Location / Applicant's Wor Order # trappucable c1f 0/ '-_
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Sub-contractor Company Name X// /./5.1-2,76. Z L-` /G
24 hr.Contact Number
x ''72- : 7.3' 0 - e ) 3zi,
Date of Verification Appointment c7/?-- Z /z' S
Time of Verification Appointment / ' I°4 r/r14...
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
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. Inspected by i.l/G y j�,✓��Z of Utilities Maintenance Division on 9 ��' , ��:���
and found to be acceptable /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.
255 Parkway Blvd., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570
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Damage Contract Located Utility Item Investigated -o
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. Inv At Fault
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Date Work Order Tripe Company YIN Provider ; Damaged Size Damaged* Location Of Damage;By YIN Remarks Locate Ticket Number
pet hole line and don't run on I Iv
8/31/05 3PF01GJ Electric McBride ' Y rTXU Electric Primary Bore Rig 333 Phillips Dr Jeff Wesson Y top of locate marks CO
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9/1/05 3PFO1GJ Water Welland N City of Coppell Main 8' Bore Rig Samuel Jeff Wesson Y _ c.n
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9/14/05 3PF01GJ Water Hemandez N City of Coppell Service 1" shovel 235 Cove Guy Varney Y BE Careful _
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8/30/05 3PF01GJ Water Wetland Y City of Coppell Service _1" Parkway ,Jeff Wesson Y O
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