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ST1002-PT120816 A copy of the approved permit must be on the job site at all times. T H E • C I T Y • O F COFFELL Vii% o q X A 8 t OS-15- 1 P12:5 / RCVD RIGHT-OF-WAY USE PERMIT APPLICATION Pl/PAU( Submit permit request to the Engineering Dept., Town Center, 255 Parkway Blvd. Date of Submittal: c lia, PERMIT FEE: $100.00 (No charge to Utility Companies with approved Franchise/ROW Use Agreement) '-� License Agreement Approved (date) / / Certified Telecom Provider? Y CN ❑ Plans provided and approved (Erosion Control/safety fences must be installed prior to beginning work) Project Name / Location: ELI) iv1,✓A) ‘,419.e/1 - terAil, Q 26-, 4914•S4.9ee General Contractor: Permit issued to Company / Representative: O/ `af cL Tgie deirveyy/4,e1;:e4/71.45 Address: / o 3-c)-S, A) F* Mel & 0d, 7S 2 34 Telephone #: 41:2 /- c2 ss Emergency Telephone#: � 2R*- SZ Sc Utih'ty Company Represented: , Electric ❑TXU Gas ❑Verizon ❑SWBell ❑Paragon/AT&T Broadband ❑CoServe Comm ❑CoServe Elect. ❑Other > If "Other" is checked, please note that franchise or right-of-way use agreements will be required and need Council approval prior to beginning work. Permit cannot be approved until that time. General Description of Work (provide copy of approved plans): f/vs(19l L G ii?eprK7gmevs 2 S.201 O% ELt c f(l,G C0.014/114 .1N X%STt j�G `OND ,,f . (, /o Z)f ', //'6 kP&u,2 0 D Was contact made with City and/or utility companies to locate existing utilities? if NO, Reason:Loe f lv;tl / e fePugs.ro 48 y/av'ts YES El NOJ P oR 1-G7 o coPffEworohl, > Is removal of existing streets, alleys, or sidewalks necessary? YES ❑ NiZe if YES, must have City inspection prior to concrete replacement Right-of-Way Use Permit Application Page 2 Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at the applicants expense) and barricading according to the Texas Manual on Uniform Traffic Control Devices. Area(s) affected must be restored to as good condition as before the commencement of work (grading, drainage, vegetation, and erosion control). > Any excavation requiring closing of a street/alley must be reported prior to closing to the following: Police Department 0 972-304-3600 Fire Department @ 972-304-3500 Street Department @ 972-304-3546 Engineering Department @ 972-304-3679 > Attach barricade plan /trench safety plan if a lane or street closure is required. NOTE: Street closures are allowed from 9:00 a.m. until 3:00 p.m. ONLY unless otherwise approved by City Engineer. > Attach Work Order (franchise only). > Contact must be made with City and utility companies to locate existing utilities 48 hours prior to beginning of work. r , ... _Si: a e of Utility Con.: •epresentative Printed Name Date 4111111°. ii: ./■ 4K ce"-e/A i i12 Signature of Conttorre Printed Name Date / ...., 4,,K mar,A. v/‘(,z fgnature of City Representative Printed Name Date (Application with original signatures needs to be submitted to the Engineering Department before approval.) > Comments: > NOTE: Notify City Inspector at 972-304-3679 prior to beginning work and prior to backfill for concrete, trench, ditch and open pit inspections. (Backfdl must meet all construction standards approved by the City of Coppell) Applicant shall indemnify and forever hold harmless against the City of Coppell each and every claim, demand or cause of action that may be made or come against it by reason of or if any way arising out of the closure, blocking, excavating, cutting, tunneling, or other work by the applicant under permit from the City, if such permit is granted. -3661641 W(.y{lI ...........ti /i I W 7 ; .0 3T-52Y9194ti9 21! 15468 99 -4 V # _ ]� z j ClUOD sta 0196 391452 : 7J�% \1 2151468 �� off-"" 1 618 2151468 h ff22 2191468 0 31 1571 ♦ o -5395 `rG.00 �� �-o m a OC � -9990 �� 1�aT B ✓,✓I'. n •• (T' 1 mm ' Mfn 34 ' AC • 795 AAC Q • ................... 3916409 ` ' ♦ 3916492 391 06 a 2151468 _ �. ___ ` A6S 3661547 3667552 + a+ 1,4 AL s . �- 6d9Q�z _ fJ t- - sFy ,� 39171 1468 2152468 65 CPLSO� FDR4 _ m�� rt2 T_ n o nao o0 3661 90 21 2 4 -2590 2590 68 Ab • '/0Q'�" -3661 54 to to m mm "tto� rt3 r' wtwo # a / �• 'L j� \p S iA - mm m 00 x/00 - ^\TOif'u ° n 0p mM ", con (�U \ I � L L I \ Od5 • ♦ 3916 t0 mr, . aei�0 , 7 R ♦ 661 -36 1517 100 fn , (..1 0 _ „• ,__ 3916882 1 3917275 7 0 0 002836 _ • 3661519 w 391642 33661516 w ' 0 1 oww-OI o'wtw_o 0 3661507 { coo w� wto 39164053661514 215145 m f mm, o,m ? 6951 } o+tn coo AUTO mN -3661508 '1887 -,� m mw; uoto M 3 1457 i #�-,m os aof1O. 8,� 9 0+ toow ry o o .w�"1 m"' 3916888 corn 8 � J x-00 o0-EI °° °° -�,.� 1517 76 _ 391663�f 3915726 -3661459 1 I 7976N' 2157! g 3661452 3 61450 V t of N.C. 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No ` 60483 m�cl N.C. i mt9 ; Via, mm mm1 � ; a,o 3917159 m�.; o`2,.. _. tam - - - -.. o°�' 'Y+*im j "'t`°a 3660438 Z5 �, _ 17266 _ oam y , .^m° -; t~o ; t;, ' ; tN tNw' , S - ©3660433 -N ._0 NW Ua m' mt1', mw, mtw-o; Mw_o: mW 391 �35 J ;a 019 °a°' om; °tmo; °o; ; oo I -366 30 {Z ON; Wt,, WtO, MN, w•'Ni ; =WO, MN, '1 to D `� ©- >; s❑3660 3 ELECTRIC CONSTRUCTION PRINT _ I 1 39 136 ; 1 ^ w 36 37 p — — WR NO 3178155 �wz SHEET 1 OF 1 ®wtwo mO 38 �m w -36 311 ° 3917269 DATE 08 -09 -2012 CIP 8 l /°�� w 0_ ° - 3660313 SCALE 80 Z �~ CD # SERVICE CENTER FBR 61 '1169 DESIGNER FIELDINOrLOUIS R OFFICE 191 3917141 <,' .___. 3917269 PHONE 19721888 -1344 - 3660261 555 3660262 MAPSCO D 110 A # PROJECT EASTMAN•KAREN ANN CD MANAGER ��, _® PHONE (817)355 -7050 --� 3917164 G - 3660234 917155 3917255 M 2,1,12 Dnccr Elam" Delivery 60219 3660221 Mapa, drex,nge, and electronic dam Iprodoetal era r and far the mmrnel purposes of Dncor Eledr,o DaLvery wU no ,mphcatmn of >mtab,Lty or ptne >a for the mtanded uve of she ramptent. Oncor Elec4sc Delvery x,ll make good fe,th efforts to prov,de products ihet era free from error, but does not xerrent the accuracy or queLty f each product >. 5 The ieae4oro >hexn are epprowmatmn> and era n t nndad to ahox a et ]eceao >, Product> pro ,dad to oNer pertte> by BURNSI 0 or Electnc Delivery ere for a mternei a >e f e ramps 4 end the remp,ant ayee> not to dupLoate or dutnbute the praduct> or any part,on of the producm o ehmd pere,ea wNout a pr,or xrrtten permte >mn of Oneor Etectnc OaLvary. theegeo,p,ent furrther egr, to hold hermlea> end and fy 0 car Ele o-m Delivery agem >t ell cla,ma, ao >t >, expemee end any def cte m'thef p .party prov ded h i vender. s , 1,b 1 k fornperaonel mJune >, death or property damegc, on account of I BURNS S "�j� � WR NAME FBRI COPT SERVE OLD TOWN COPPELL RETAIL /OFC AND CITY SVCS KE I CUSTOMER FBRe COPS SERVE OLD TOWN COPPELL RETAIL/ 0 ADDRESS MAIN ST. d LOCATION MAIN ST.