PA9901-PT000128CITY OF COPPELL ENGINEERING 4 540 W ELM ST
N0.190
DRY BORE / STl~RT CUT / SAW CUT
PERMIT
11~
RIGHT-OF-WAY / EASEMENT
D02
PERMIT FEE: $100.00
(No charge to Utility Companies with approved Franchise/ROW Use Agreement)
E7 Plans provided coid approved
(Erosion Control/safety fences must be installed prior to beginning work)
~e..~ co,t~cto,: 14egK~ 1'4 4-/gcC~ f
Address: .SfO L~J, ~rlm ~-~iSt//l/p ) rx 750~7
Utility Company Repmented:
EY TXU HI, one Star ~
C1 Co$erve Comm 121 Co$erve E!earic E7 Other
E7 $WBell 127 Paragon
If "Other is checked, pieaxe note that franchise or right-of-way use agreements will be required
and need Council approval prior to beginning wori~ Permit catmot be approved until that time.
General Description of work Cpro~le copy of approvea plans):
frlr a~ 3~ 5~ ~d,
Was contact made with City and/or utility comlmnWs to !oea~ ~dstint utilities?
if NO. Reason:
Is removal of existing streets, alleys or sidewalks nRJssary? YES
if YES, must have City insl~ction prior to concrete replacement
~8/05/99 08:32 CITY OF COPPELL ENGINEERING ~ 540 W ELM ST NO. 190
))ry Bore l Street Cut l Saw Cut Permit
l'use2
the Twoas Manual ms Uniform 2'raglc Coatrat Deviet. Arm(s) ajraced mast be retor~ to as load
wn:~rie as be/ore ee comnmcetm~t a~ work ($rmb$. drabale. ~egttmto,, ar.d erostan coatroD.
'~. Anye~cava~i~tequirin~c~sin~f~m~et/a~eymu~b~tep~t~dpfi~rt~dming~ing:
Attach Work Orcbr (a-amclfi~ only).
3i
~ ·
SiSzlatttre of City Reprmentative
Note: Noti.~ ~ Inspector a~ 972/$0~.$~ prior to ~ wor~ md prior to badtrill for
wncrett, tmnc. h, ditch and o~m pit impevtlom.
(Sac~ll maxt mee atl wnsrmam ~tandard$ appromt t~ the Qty of Coppelt.)
Apptieant shall lndemnlJ~ and former hold hansl~# alairm rods and mvry claim, der. and or my, re
of action that may be made or wvw alainrt it I~ reason of or y' a~ v~ artsial out of Ow doxum,
bloct~8. acavatin8, cunf~8. mnndinl, or other wort by tie applteme uder permit from ti~ Qry,
if such permi: is granted.
SPLICER:
TERMINATE TWO GOOD PAIRS IN NIO MOUNTED
AT 5'ABOVE GROUND LEVEL ON POLE AND
TAG THEM. AAIS RECORDS FOR CABLE COUNT
ARE INCLUDED IN WORK ORDER PACKAGE.
CALL MIKE · 972-434-1019 OR NICKI e
972-434-7657 TO~ASSIGN THESE PRS.
PED 300
· 14297 2411.10
M~115300
3100/P13
*14286 2411.10 (67)
M0115250
3100/P12
25'-~0
C) 014285 2411.10 (67)
HISAV/& ASSOCIATES M'115250
25'-00
*1007G (70)
~ B(8E ~x P_ 25' 4' PVC ~'221212
/~~~1 65~' 2421.18
~ 0. ~1887G ~ AE 12-22
195' 3PR DRO g34~3,426-437
P~IOPOSED 12' WATER L E~: ..... ~: 0 "14284 2411.10 (G7)
M011525~
3i~8/Pi~
"~2 2 ~J 25'-ee
~5 STA~ ~ P
C~6~42G-437 (~>
NOTE AREA SPLICING,BONDING &
GROUNDING WILL BE DONE PER GTEPS.
ISD=82/82/88
(~T'E) slI AREA STATE-.
DIVISION: TEXAS AREA ~ EXCH.: 5847 BEN. CO.: 000
~/.C.: 4828 [V/O NO.: 8POOlDO [ CONTROL NUMBER:
TITLE: HID~ & ASSOC. CONST TRLR ] TAX DST.: ~
TWP: I RNG,: ISEC.: L~
D~TE: ~1/27/~g IREV. DATE." : l'=lgg'
MM MM 1 OF 1
010503
TX