FTTP-CR050720 Jul 21 05 10: 44a 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 / A,57/44-6- 1/E/2_ di?-1-47-
Project Location / Applicant's `• orkOrder # (if applicable)-Pc t` EL�--
Sub-contractor Company Name A ,4 /4t�vy2 iL_
24 hr.Contact Number �7Z �� 6 l3
Date of Verification Appointment 7/7(4/) 5
Time of Verification Appointment /." b c Ax_
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
•: Inspected by li/GHTo‘,i,7L of Utilities Maintenance Division on 7 a�' v1 , / �o/5%%
and found to be acceptable not acceptable because
Follow-up needed? 10 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
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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