Cambridge Phase 2-PT 960214City of Coppe!l - Public Works Depar~menn /~
Emergency Phone: (
Inspector: Phone:
Type of Work/General Description:
~rave Ail City and/or,r~chise Utilities Been~ Contacted and
Existinq Utilities Located: Y YES NO
Will It Be Necessary to Excavate Street, A~ley or Sidewalk
Pavement? Y~S '(a~tach permit~ ~ NO
Representative(s) of the Franchise/Contractor must adhere to all
construction standards approved by. the City of Coppell, which
-includes but is not limited to: Compaction of Trenches ~and Bores,
and sarricading':according to'the Texas ManUal on unif0'rm'Traffic
C,6n~ro~ Dev~ceS21,11,~ea(S')~ffected mu~'t~'be'~re'storea~ito as good
./!::Condition !,:as:i~b~fO='~ the commencement 'of work. '
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A~tach Barricading/Detour Plan if a lane or s~ree~ closure is
ap~licable.
Franch£se/Con~ractor Representative
Dana
Franchise inspector/or C~__.-v Insuector.
A.=~r~ve~ Represen--a:ive
Date
Date .....
Applicant shall indemnify and forever hold harm. less against each
and eve~I claim, demand or cause of action that ma'z ke made or come
against it by reason of cr if any way arising out o~ the closure,
blocking, excavating, cutting, ~unne!inq, or other work by =he
~= such ue_-rm, it is granted.
aup!ican~ under perm. it from ~he
PERMIT.
Ail contractors will contact Public Works @ 462-8495 to have
trenches and/or open cuts inspected prior to back fill operation
taking place. Staff will be sent to inspect the project.