FTTP-CR050721 Jul 21 05 10: 41a p. 1
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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 K/4Ascri, yE GD,✓S%.
Project Location Applicant's WorkOrder # (if applicable /A-
(Pt:IL-re-* Gr/ /-742 y s
Sub-contractor Company Name eitlAS,117e- /E
24 hr.Contact Number 97� �
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Date of Verification Appointment 7/7//b
Time of Verification Appointment
LNFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
Inspected by /167o,4,,rc of Utilities Maintenance Division on 7-,2/ C )
and found to be acceptabl• /not acceptable because
Follow-up needed? 0 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 •