FTTP-CR050714 Jul 14 05 04: 08p 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 !ti sG/9y eft
Project Location / Applicant's WorkOrder # (if applicable) 312,c2;./ F-6
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Sub-contractor Company Name /L/Agg.5, c" 4—
24 hr.Contact Number 671 2- /
Date of Verification Appointment `Th jj S
Time of Verification Appointment /b
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
Inspected by .i/'#T,6,‘..z-z.ric of Utilities Maintenance Division on 7-/ -of r-n
and found to b• 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 '