Dry Clean & Donut-PT010712®
COPPELL
CONSTRUC~ON DEViZLOPMENT P ~ERMIT APPLICATION
N~me of Applicant: ~ ~?-- ~~ ~7~~-O ~-~' ~
Phone Number: ~ ~-' ~'~'~7" ~ ~P ~
Location of Construction (a,~ress): ~..~ ~-' /~ ,
Su~n $ectio# #
Block l
OR
Sur~ey/Abstract #
Location description (attach Fidnity map):
Type of proposed co~on or devdopment:
( ) Residential ( ) Alteration of a natural waterway draina~ course
~[~ Non-residential ( ) Other (dfscribe & attack dmy~g or sl~tck)
( ) Placement of Fill (in right-of-Fay or on primM property)
e
/~ Drive Approach
Description of Construction Permit requested:
( ) Median or Landscaping
( ) Excavation ( ) ~-;~y Sewer Main
( ) FIFe Lane ( )Flume
( ) Bridse ( )Inlet
) Boz Culvert
) mpRap "
Drah~e Chiunel Excavation
Slope l'rotection/ReUhi~ Wan
~qearktns Lot
AH construction shall be in coml~h,-ce with, 'but not limited to, the C'3ty of Coppell
Subdivision OFdi-.nee. Standard Construction DmHs. Streetscape I,,, and approved
plans. The contractors dudl adhere to the City's Erosion and Sedimentation
e
*:. Please provide the name. addFess and 24 hour phone number for supervi~r of every
contractor wortrin_~ under ,hk general permit.
CONSTRU~ON DEV~PMENT PERMIT APPLI~TION
A Construction Permit Fee in accordance with the City of Coppell Fee OFfHmmee shall be
paid prior to begjnn~ work,
Amount Due: Date Paid:
NOTI~: A s~t,arat~ ~~ pmnit b ~ ~ ~~ b ~ or w~ ~
Any work requir~ clostn~ of fi lane of traffic, street, or alley must be approved by the
En~ineerin~ Dept. with notification to the followln~ prior to closing:
Fire De~t 0 ~72-304-3S00
En~ineerb~ nelmrtment O 972-304-3679
Attach barricade plan / trench safety plan of a lone or street closure. (Required)
Note: ~treet closareJ are allowed Am 9:00 a~m, un#l 3:00 p.m. ONLY unless otherwise
approved by ~ Engineer.
A pre-construction meeting is required prior to beginning work related to this permit. Contact
the'_inspector to schedule meeting. .
- Date
PrinU~d l%lam~
City Inspector Contact Number(s)
FOR CITY USE: ONLY
Is the fdl area located in an identified flood hazard area? ( ) Y~ ( ) NO
If YES, tam a ~odplain De~op~ Permit is required be. for~ any consmw~n can begin.
Is additional information required? ( ) YES ( ) NO
Are other federal, state, or local permits requires? ( ) ~ ( ) NO
(~P~ APPLICATION
( ) PKRM1T APPLICATION
Cit~ Approval Dm
'PROM : Panasonic FAX SYSTEM PHONE NO. : Jul. 12 2001 04:10PM P2
D. R. CONSTRUCTION
Please allow $ 32,300. 00 for following work i.n city right c~ way:.
1. F,,xtend $" water main, water ta~ and water meter.
2. Right mm lam a~! approach m0dif'lcatioo.
3. Side walk.
4. Storm drain modification_
3605 Whiffletree Drive, Piano, Texas 75023 'l'P_l, 972/896=6184 FAX 972/867-2002
NHAN V. NGUYEN 5-9? 3Z-75/1110
OR NGA T. PHAM 7/7~/ 1303
2825 KINGS GATE DR.
CARROLLTON, TX 75006 DATE / __
Pay_ to the C
For~) Dallas, Texas
CASH
RECEIPT Date
Received From
~ AM~ OF
ACCOUNT
AMTPAID
I BALANCE
~ _~ DUE
051716
DollBrs $ ~ ~4'~-~
HOW PAID