Irby Addition-PT1607263
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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 Un(form Traffic Control Devices.
�_MJ.ia^-02._'aG- ....we--ti/cr�.� ay �,�.--...-.� .���..._ f-..�.S2S1�4sY
/ren( ) affected raust_be rgstored to (vs good condliloa as hefore the commencement of work(grading, drainage,
vegetation,and erosion control).To schedule Public Works final inspection(Page 4)call 972-462-5155. y j
) 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 0 912.462-5150
Engineering Department 0 972-304-3679
>Attach barricade plan/trench safety plan if a lane or street closure is required.
NOTE; Street closures are allowed from 9gl ct.nkuneil3:30 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 must be done 48 hours prior to beginning work.
For City utility locates, call 972.462-5456 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 englneercacoppelltx.gov.
Printing your name indicates your acceptance of the terms and conditions of this form:
(It you we- ed p. a •via e-mail,provide a valid e-mail address on Page 1.)
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Signature of Utility Company R resentat ve Date
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Signature of Contractor Representative Date
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Signature o ty Representative Date
Comments
•NOTE: Notify City Inspector at 972-304-3679 prior tpsegintning 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 indemn(fy 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, crating, tunneling, or other work by the applicant under permit from the City, if such
permit is granted.
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STARTING POINT OF NEW FIBER PULL
TO BE DONE BY HENKLES AND MCCOY
FIBER TO BE PULLED THROUGH
EXISTING UNDERGROUND CONDUIT.
HENKLES AND MCGOY TO PLACE ALL
REQUIRED WARNING SIGNS WHILE WORK
IS IN PROGRESS
H ASI FAX LN. -
504
N.
504 500 0
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OAK GROVE LANE