Hunterwood-PT140214 A copy of the approved permit must be on the job site at all times.
CC: Applicant a
164 = ' * �— ° - - Page 1 of 4
Public Works COFTELI
Permit File L Rev. 06/2012
i, �` . .S.. . big,^lw o.
Orig.to Project File s �_ ,_
6 pp, nowEE
RIGHT-OF-WAY 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: oaifp/14 Applicant's Job # /Work Order# 5Q ,14 '-C)' —1
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
0 Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work)
Project Name/Location or address l�alt 0 run i.i.-)e it" Lit . (C .?p i. V I L.l ci
General Contractor ley 00 Contact# . -S- -2-j 0
E-mail address to return permit CC v w p t -4'e x Q i Nn ✓1 k
Representative: 1 t t l ki4 k
Franchlse Telephone#: aki4-- t-'3 — go-3 g
Companjr
E-mail address: y ,.„,A tkc)o cv,i0 t tit' +03 C.CY ti C ,. CC
(for contact if needed/if e-mail of appro permit is'ctesiredlpermit cannot be e-mailed unless complete)
Utility Company Represented:
C Oncor Electric Delivery C Atmos Energy C Verizon C SBC/ AT&T
A Time Warner Cable r CoSery Electric/Gas r Other
'c\ .a eaaffi's'3..' .;5. ns'[di :'"s w.n lss §, eax - R. ___. _.5.g�.ea.d."P5/5S'.m,5'^,'/eie.P�51.,55ffi".d Le„&f 553..'W.:5..'A�el& ... .mgygi`.. ✓: ;..<: -; .4'.'%sb.-an 3'd<
General Description of Work an accordance with Ord.No.2001-944):PLEASE ATTACH PLAN OF PROPOSED WORK
e.2 kox e . V cs.eke., for mo . t5 g 0--
Estimated Start Date Ca/1-i / 14 Estimated Completion Date* 0 3/ CI 44
* 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 f No
➢Is removal of existing streets, alleys, or sidewalks necessary? C Yes 0 No
if YES,project must have City inspection prior to concrete replacement
Right-of-Way Use Permit Application Pace 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 @ 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.
Locates for existing franchise utilities inustbe done 48 hours prior to beginning workk.`
For,Cit ,utility locates, call 972= 6 5155 to schedule 48 hours prior to beginning work.
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 yo ant the app ed permit returned via e-mail,provide a valid e-mail addre s on Page 1.)
411:2114
Si nature of Utility Company Representative Date
ill CI.J.,,,i4 I , i'lQ,(14
Signature of Contractor Representative Date
_ `y
Signature of City 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.
Darla Wesolek
From: RMO_Robot @twcable.com
Sent: Wednesday, February 12,2014 10:24 AM
To: Darla Wesolek;Gary Cantwell;david.hatton @dfw-telecom.com;vicki.moore@dfw-
telecom.com;dayna.lapoma @dfw-telecom.com; Iyle.bradley @dfw-telecom.com;
david.cheney @twcable.com;ohn.moses @twcable.com;stephen.custer @twcable.com;
David.Cheney @twcable.com;John.Moses @twcable.com; stephen.custer @twcable.com;
Lyle.Bradley @twc-contractor.com
Subject: RMO- New ticket#30379-There is a ticket assigned to you.
Attachments: E087773_35203188657760_4403print jpg
Importance: Low
There has been a ticket assigned to you. Click to view.
RMWO Ticket#: 30379
PRIN: Dallas
Entered By: Kean, Jeff
Authorized By: Capps, Keith
Routed To: Texcomm (Dallas)
Assigned To: Gwin, Phillip
Date of Order: 2/11/2014
Date Completed:
Completed By:
Tech ID / Cell phone: 1381 ! 9726708587
Node /Amp: 4403 ! B3X0
Location: 436 Cooper In Coppell Tx.
Description: replace from 444 cooper In to 436 cooper In. Found an old rg-11
temp above ground.
Type of Repair: [X]UG
Repair of: [X]Cable
Cable sizes .625 CA [X]UG 158 feet
Direct bury? (X)No
Type of soil: [X]Dirt
Is temp line placed? (X)Yes [X]UG
Is temp spliced? (X)No
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