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Townhomes Ph 2-PT140115 A copy of the approved permit must be on the job site at all times. CC: Applicant ' ` r ' r Page 1 of 4 Public Works COPI2ELI,Permit File Rev. 06/2012 . Orig. to Project File C 1- 3-I , P 3:51 I N ® USE PERMIT APPLICATION Permit valid for 90 calendar days from date of approval Submit permit application to the Engineering Dept.,Town Center,255 Parkway Blvd.or e-mail to engineer @coppelltx.gov(see button below) Date of Submittal: 01-13-2014 Applicant's Job It / Work Order # PERMIT FEE: $100.00 (No charge to Utility Companies with approved Franchise/ROW Use Agreement) Refer to the City of Coppell Ordinance No. 2001-944. Certificated Telecom Provider? Yes C No C El Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work) Project Name/Location or address Old Town Main Streets Phase 2 General Contractor DCG Construction Contact# Jeff Cowling 972-249-6372 E-mail address to return permit richard.johnson@atmosenergy.com"" , "j cowling @dcgconstruction.net Representative: Atmos, Energy, Richard Johnson Frath se )A Telephone#: 214-673-1324 Comp y E-mail address:richard.j ohnson@atmosenergy com (for contact if needed/if e-mail of approved permit is desired/permit cannot be e-mailed unless complete) Utility Company Represented: C Oncor Electric Delivery ( Atmos Energy C Verizon C SBC/ AT&T C Time Warner Cable C CoSery Electric/Gas C Other Genera escrrptiaj o '�ork(rn gccctr ce w th Cir Iva ) P Sli A1TAc PLAN OF�P OPOSED WORK LEA Per •r"gas line i 1: tih for the eYt e • e 1Viain Sir Bich will Invol re 0 feet of t lP Poly gas main Estimated Start Date 02-15-2014" Estimated Completion Date* 07-15-2014 * Completion requires submittal of Completion Verification Notice (see page 4) >Was contact made with City and/or utility companies to locate existing utilities? if NO, Reason: (; Yes C No >Is removal of existing streets, alleys, or sidewalks necessary? C Yes ( No if YES,project must have City inspection prior to concrete replacement Right-of-Wav Use Permit Application Page 2 of 4 Representative(s) of the Contractor must adhere to all construction 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 applicant's expense)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 (grading, drainage, vegetation, and erosion control). To schedule Public Works final inspection (Page 4) call 972-462-5155. >Any excavation requiring closing of a street/alley must be reported prior to closing to the following: Police Department(0 972-304-3600 Fire Department @ 972-304-3512 Street Department @ 972-462-5150 Engineering Department @ 972-304-3679 >Attach barricade plan /trench safety plan if a lane or street closure is required. NOTE: Street closures are allowed from 9:00 a.m.until 3:30 p.m.ONLY unless otherwise approved by City Engineer. >Attach Work Order(franchise only)and/or 1 set of prints showing proposed work. zr Locates 161:71- i '• franchise l smust • done 48 h o, rs for to beginning work For City utili • tes call" 7 62-5155 to c •dule,48,.6iour.... prior ttii,6'ginfijogifirOrk. The application with signatures of Franchise and Contractor representatives must be submitted to Engineering Dept.for approval prior to beginning work. Submittals by e-mail should go to engineer @coppelltx.gov. Printing your name indicates your acceptance of the terms and conditions of this form: (if you want the approved permit returned via e-mail,provide a valid e-mail address on Page 1.) Atmos Energy, Richard Johnson 01-13-2014 Signature of Utility Company Representative Date Signature of Contractor Representative Date /;All a tH S'g -' ity Representative Date Comments >NOTE: Notify City Inspector at 972-304-3679 prior to beginning work and prior to backfill for concrete, trench, ditch and open pit inspections. Backfill must meet all construction standards approved by the City of Coppell. Applicant shall indemnify and forever hold harmless against the City of Coppell 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. NUMDER DRAWING NUMBER SI07.02 008. .. 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