Parks Coppell ABQ-CS 930719 Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date: ~ / it! / ~ Project Name:
~ergency Phone: ~ ~
Representing:
Inspector: ~; ~'~ ~,c.'-~-'~'~%.~ Phone:
" ?3qpe of Work/General Description:
Location of Work: /C~-;% ~'/' 'w~/~ ~ ~ - -u,v;9 c+' g~ %.=.-.& - .
IIave ,111 City and/or Franchise Utilities Been Contacted and
Existing Utilities Located: ~'¢~_~~ YES NO
Will I~ Be Necossam-y to Excavate Street, A~ley or Sidewalk
Pavement? YES (attach permit) '"'"" NO
Representative(s) of the Franchise/Contractor must adhere to all
construction standards approved by ~he 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.
~ny excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Depa~-tments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PER~.iT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Representative Date
Franchise Inspector/or City Inspector Date
Applicant shall indemnify and forever hold has-Tm!ess against each
and eve~; claLm, 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 permi~ from the City, if such pe---m, it is granted.
PERMIT. PItB
Ail contractors will contact Public Works @ 462-8495 to have
trenches and/or open cuts inspected prior to back fill operation
taking place. Staff will be sent to inspect the project.
· ; ,v LONE STAR GAS COMPANY
·, ' {~ Inside C/L [] R/W . Proposed
[] Outside C/L Sketch of { Completed ~ ~'rojec~
LOCATION (~ PPE'/J ~ , ~ ~. No.: I~.~ R~Ion:.~~
Tow..L~.~ "' ~ ~ ~ ~ ~.~.R .O. 03-~/~ /
SCHOOL DIST. ~=~~. =~ ~ MAP SHEET NO.{s)
[Dalla~ & Tarrant Counter)
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SUMMARY ,OF PIPELINE CH ~S
DISTRIBUTIONPLANTS IN pA~K ~ ~-
ABANDONED RETURNED TO
WAREHOUSE ; NEW INSTALLATION
I Original ER No, or Date of I~stallation for replacement and
Size Ki~ Feet Size Kind F~et. Size Kind Feet retirement projects only:
~ '/ ~Y ~ Date of this report