Riverchase (6.1)-PT 940427Bor~/Exca~=tion in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date:
Permit Issued To: Name:
Address:
Phone:
~mergency Phone:
Ins~c:o=: ~d~ ~ ~, ~~3 Phone
~e of Work/General Description: ~ /~~
~ave ,~1 City and/or Franchise UUilluies Been Con,ac=ed and
Exi=tinq Utilities Located: YES
will It Be Necess~ to Excavate Street, ~ley or Sidewalk
Payment? ~ YES (a~ach pe~it) NO
Representative(s) of the Franchise/Contractor must adhere to all
construction suandards approved by the City of Coppell, which
includes but is noU limited to: Compaction of Trenches and Bores,
and Barricading according to the Texas ~nual on Unifo~ Traffic
Control Devices. ~ea(s) affected must be restored =o as good
condition as before the co~encement of work.
~y excavation requiring closing of a street or alley must be
reported to the Police, Fire, and P~lic Works ~p~ents prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
A~=ach Barricading/Detour Plan if a lane or street, closure is
applicable.
Franchise/Con:fac:or Represen=a=ive
Dare
Franchise Inspector/or City Inspector
!
enna=ive
A~p!icant shall indemnify and forever hold harmless againsn each
and eve~; claim, demand or cause of action =ha~ may be made or come
agains: it by reason of or if any way arisinq ou~ o~ :he closure,
blockinq, excavating, cu:ting, tunneling, or other work by :he
applicant under permit from ~he City, if such permit is granted.
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.
~ Inside C/L I-'[ R/W
[:~ Outside C/L
LOCATION ~ t~'~' '~ ~
TO~ P~NT
fir ~ ~ I~on~
~HOOL DI~.
..~
LONE STAR GAS COMPANY
Proposed
~cetch of { Completed } Prolec[
Co. No.:~ Region: _
E./...o.
,I
Spring Valley Construction Company
16475 Dallas Parkway. Suits 620 * Dallas, Texas 75248
214/931-8600 · Fax (214) 380-9085
Gary Jackson
Superintendent
NSTALLATION
Feet
Original ER No. or Date of Instal[atiofl for replacement and
[etiremant proiects only: