Riverchase (6.1)-PT 940526 Bor~_l~xcavation in Public Right-Of-Way Pe~mi~
City of Coppe!l - Public Works Departmenu
IIave ~i City and/or Franchise Utilities Been Contacted and
Existin~ Utilities Located: / YES NO
Will It Be Necess~ to Excavate SZreet, ~!ey or Sidewalk
Pavement? YES (a~tach pe~it) / NO
Representative(s) of the Franchise/Ccntrac=or must adhere to all
construction s~andards approved by ~he City of Coppe!!, whick
includes but is not limited to: Compaction of Trenches and Bores,
and Barricading according to the Texas M~nuai on Uniform Traffic
Control Devices. ~ea(s) affected must be restored to as good
condition as before the commencement of work.
~ny excavation requiring closing of a szreet or alley must be
reported to the Police, Fire, and Public Works Depa_~-tments prior
~o closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PER/~.iT
Barricading/Detour Plan ~ ~ a lane or s-._-ee", closure is
~ranc b.£s e / C~ n~_-ac-_or Represen-~a ..-_ire Data
~ranchise inspec;or/or C;-'-y inspec;or Dane
Applicant sna=~ indemnify and forever hc!d harm. less against each
and eve~! claim, demand cr cause of action ~han may be made or come
against it by reason of cr if any way arising ou~ of uhe closure,
blocking, excavating, cutting, =unne!inq, or o~her work by ~he
app!icann under permit from the City, if such perm..it is granted.
PERMIT. P!r.3
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.
* NO WET BORES ALLOWED!
M...-~-A-~V LONE STAR GAS COMPANY
[] Inside C/L [] RAN ~-
F{ Proposed
[] Outside C/L Sketch o Completed roject
LOCATION ~ '~ ~'/-'- Co. No.: /~4 Region:
TOWN PLANT ER/RR NO. ~d - ,,c;'/~
(if o~her than location)
SCHOOL DIST. MAP SHEET NO.(s)
(Dallas & Tartan, Countie$)
SUMMARY OF PIPELINE CHANGES IN
DISTRIBUTION PLANTS
RETURNED TO NEW INSTALLATION
ABANDONED WAREHOUSE Original ER No. or Date of Installation for replacement
Size Kind Feet Size Kind Feet Size Kind Feet retirement projects only:
~ _ .., / - .~ ~,*'
Date of this report
.y 9/ /../I