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Carter Addn 3-PT121226 i ,;..- • ,‘ A copy of the approved permit must be on the Job site at all times. CC:Applicant THr • CIVV • OP Page 1 of 4 Public Works COPPELL Permit Pile Rev. 07/2010 Af!VW,A Ong. litr ,a,,W-Y- to Project Elle RIGHT..0E-WAY USE PERMIT APPLICATION Penn ft valid for'90 calendar days from date of approval Submit emit a ; lication to the En_ineerinl De t., Town Center, 255 Fatima Blvd. Date of Submittal: 12-20-2012 Applicant's Job//./Work Order#, PERMIT FEE: $100.00 (No charge to Utility Companies with approved Franchise/ROW Use Agreement) Refer to the City of Coppeli Ordinance No, 2001-944. Certificated Telecom Provider? V N 0 Plans provided and approved (erosion Control/safety fences must be installed pri or to beginning 1P0114 Project Name/Location: Carter Addition, Carter Drive Ai-fis"-‘i0 General Contractor: Willbros.T&D Services/4/4/ ,15 Contact# 903-893-0949 .j Permit issued to Compa y I Reprop t t* • Al il . III G'd ; Address. pveio A A ,,y461'6a Ive.ei;,, "//44 ,/ /niehri-fareio.4 i, Nef\3\ Telephone#: 97,2...../ee- wzi Emergency Telephone#: ,,?/•54 67,3-.13,z5/ , ,. Utility Company Represented: •0 Oucor Electric Delivery PI]Aims Energy 0 Verizon 0 SBC/AT&T LI Time Warner Cable D CoSery Electric/Gas ID Other . . . . .. . General Description,of Work(provide fou r NJ sets of plans):In accordance with Ord. No. 2001-944. Install 1500 feet of 2 inch Poly as Main and service stubs to serve 22 lots in the new Carter Addition. . -. „. . „ Estimated Start Date 12-27-2012 Estimated Completion Date* 05-30-2013 * Completion requires submittal of Completion Verification Notice(see page 4) .., Was contact made with .City and/or utility companies to locate existing utilities?' (f NO, Reason: YES El NO 0 .>> Is removal of existing streets, alleys, or sidewalks necessary? YES 0 NO ilYES, must have City inspection prior to concrete-replacement • • 3 . l Ri.1A-of-lira, Use Permit A lication Pa e 2 of 4 Representative(s) of the Contractor must adhere to all coustrrrction 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 Me applicants expense)and barricading according to the texas Manual on Uniform 7Y•{Jfic Control Devices Area(s)affected must be restored to as good condition as before the commencement of work(grading, drainage, vegetation,and erosion control).To schedule Public.Works final inspection(Page 4)call 972-462-5155. Y Any excavation requiring closing of a street/alley must be reported prior to closing to the following: Police Department CO 972-304-3600 Fire Department Co 972-304-3500 Street Department @ 972.462-5150 Engineering Department©972-304-3679 Y Attach barricade plan/trench safety plau.tf a lane or street closure is required. NOTE: Street closures are allowed from 9:00 a.m. until 4:00 p.m. ONLY unless otherwise approved by City Engineers ➢ Attach Work Order(franchise only)and/or 4 sets of prints showing proposed work. Contacts must be made to locate existing utilities 48 hours prior to beginning work. (Application with original signatures should be submitted to the Engineering Department before approval.) Richard Johnson 12-20-2012 Signature of Utilit Company Representative Printed Name Dale `� Co�e� / c at /074_7 Signature of ontr'tor;Representative .Printed Name Date na re f s'ty Representative Printed Name Date v Comments: r '( �= NOTE: Notify City Inspector at 972-3044679 vizor to beginning work and prior to backfill for concrete, trench, ditch and open pit inspections. Backfill must meet all construction standards approved by theca,,of Coppell.. 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