Cambridge Phase 1-PT 940919_~ ~ ~ 1 ~-- ~ ~ MO~ 11 ~ 1 ~ ~o~ de~ ~ An deF s o n & Ass c . P . 02
Bore/Excavation in Public Right-Of-Way Permit
City o£ Coppell - Public Works Department
Pe~,,~it Issaed lo2 Name: ~ .~ ·
Representing~
Inspector~ Phonel ( )
Type o~ Work/General Descr~ption= . ~/~C~ r C~W _.~O
Payment? ~ YES (attach pe~l~) NO
Representative(s) of the Franchise/Con~rautor must adhere ~o all
construction standards approved by the Cl~y of Coppell, which
includes but is no~ limited to: Compaction of Trenches and Bores,
and Barricading according to ~he Texas lianual on Unilor~Tra~fio
Control Devices. Area(s) af[e=ted must be res%ored ~o as good
condition as before the commencement o£ work.
Any excavation requiring closing of a s%ree~ or alley mus~ be
· reported ~9 the Police, FAre, and Public Works Depaz~enta prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
~-- I ~--~4 ~OH 1 1 ; i 4 ~o~d~ ~ Rnder son & RsvP- p. 05
PAGE
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Fr nchiseZCont~presentatl've Date~'Z 7'
Franchise Inspector/or City Inspector Date
Approved/City Representative ~ bate
Applicant shall indemnify and forever hold harmless against each
and every claim, demand or cause o~ action that may be made oN come
· against it by reason o~ 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.
PER~IT. PHB
CASH
REC~!PT .o,o ~t- ~,q ,, ~ O0 2 3 6 41