CF-Cozby Library-PT 940308 Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date: ~ / ~ / ~ Project Name: ~',"T, ~0~-~,~' ~'J~i~ Z/~.~&~
Representing:
Inspector: Phone: ( )
Type of Work/General Description: ~ ~5'1 ~~ ~ ~/--~-~--
~cation of Work: 17'7
]{ave All City and/or Franchise Utilities Bee~ Co.tatted
Existing Utilities ~cated: / YES NO
Will It Be Necessa~ to Excavgte Street, ~ley or Sidewalk
Payment? / YES (attach pe~it)
~ N0
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 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.
Any excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Departments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PEP~V~IT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Representative Date
Franchise Inspector/or City Inspector Date
Approved/City Representative Date
Applicant shall indemnify and forever hold harmless against 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.
PERMIT.PHB