Northlake WE P10A-CS 940614 Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!! - Public Works Department
Phone: -
Ins~or: Phone:
Location of Work: ~,?~,~ ~ t~ -.~
. ~ ~ ~' "* ~..'W' ~..
IIave a~! City and/or Franchise UtilL~ies Been Contacted and
Existinq Utilities Locaued: / YES NO
Will it Be Necess~ to Excavate Street, ~ley or Sidewalk
Payment? YES (a~=ach pe~it) ~' NO
Representative(s) of the Franchise/Contractor mus~ adhere to all
construction s~andards 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).
A~tach Work Order (Franchise Only)
PAGE 2
PEP~HiT
Attach Barricading/Detour Plan ~ a lane or street closure is
applicable.
F~anc~iseTC~n~rac~or ~e~resen~ative Da~e
Franchise Inspecnor/or Ci--y Inspector Dare
presen~_a~ive Dare .......
A=u!icanu.. shall indemnify, and fo-eu. -e-_ hold harm. less againsn each
and every claim, demand cr cause of ac=ion =hat may ~e made or come
. . i- any way arising oun of ~he closure,
ag&ins~ i~ bv reason of o- =
blocking, excavating, cur=lng, ~unne!ing, or c=her work by =he
applican= under perm. i~ from =he Ci=y, ~= such perm. it is gran=ed.
P E R~MIT. PIIB
Ail contractors will contact Public Works @ 462-8495 to have
trenches and/or open cuts inspected prior to back fill operation
tak_~__in~lace. Staf~ will be sent to inspect the project.
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/ 21.2
PELICAN LANE
/ ~fl 35.5