PA9702-CS000725DRY BORE / STREET CUT / SAW CUT
PERMIT
IN
RIGHT-OF-WAY / EASEMENT
Submit permit request to the Engineering Dept., Town Center, 255 Parkway Blvd.
Date: Z"' ,2_c'- 019
PERMIT FEE: $100.00
(No charge to Utility Companies with approved Franchise/ROW Use Agreement)
Plans provided and approved
(Erosion Control/safety fences must be installed prior to beginning work)
Project Name/Location: - f
Permit issued to Company/Representative: ~/,~_~ /Z/p,
Telephone ~:~7~ ~O/- 7~ Emergency Telephone
Utility Company Represented:
EY TXU Electric EY TXU Gas ET GTE ET SWBell f~Paragon
E7 CoServe Comm E7 CoServe Electric ~ Other
~ If "Other" is checked, please note that franchise or right-of-way ase agreements will be required
and need Council approval prior to beginning work. Permit cannot be approved until that time.
General Description of work (provide copy of approved plans):
Was contact made with City and/or utility companies to locate existing utilities?
if NO, Reason.' YES ~OE7
YES/227 NO f
Is removal of existing streets, alleys or sidewalks necessary?
if YES, must have City inspection prior to concrete replacement
Dry Bore / Street Cut / Saw Cut Permit
Page 2
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 the applicants expense) 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 (grading, drainage, vegetation, and erosion control).
Any excavation requiring closing of a street/alley must be reported prior to closing to the following:
Police Department @ 972/304-3600
Fire Department @ 972/304-3500
Street Department @ 972/304-3546
Engineering Department @ 972/304-3679
Attach barricade plan / trench safety plan if a lane or street closure is required.
Note: Street closures are allowed from 9..00 a.m. until 3:00 p.m. only unless otherwise approved by
City Engineer.
Attach Work Order (franchise only).
Contact must be made with City and utility companies to locate existing utilities 48 hours prior to
beginning of work.
S lity an
(Application with original signatures needs to be submitted to the Engineering Department before approval.)
Comments:
Date
Date
Date
Note.'
Notify City Inspector at 972/304-3679 prior to beginning 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 indemnify 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, cutting, tunneling, or other work by the applicant
underpermit from the City, if such permit is granted.
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