SC-Lakeside E6-CS 920413 Bore/Excavation in Public Right-Of-Way Permit
City of Coppell - Public Works Department
Permit Issued To: Name: 0 /~O~ ~C. +~gP~ ,
Phone, (?05) ~ 9 7 2/~ '%--
ergency Phone: 1 7995'
Representing:'
Ins~ctor: Phone: (
~e of Work/~neral ~scription: i~TSI~ S~O~
~ave ~1 City and/er Franchise Utilities Been Contacted a~d
Existing Utilities ~cated: ~ YES NO ~--
Will It Be Nec~~ to Excavate Street, ~ley or Sidewalk
Payment?/ YES (attach pe~it) NO
Representative(s) of the Franchise/Contractor must adhere to all
construction standards 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).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applic able.
~'r = n~ ~i~c~.'ontrac tor Representative Date
Franchise Ins y Inspector Date
Approved/City Representative Date
Applicant shall indemnify and forever hold harmless against 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, cutting, tunneling, or other work by the
applicant under permit from the City, if such permit is granted.
PERMIT.PHB
Cl~ OF COPPELL ,.~
255 Par~ay Boulevard