Windsor Estates-PT000809The Chy Wtth A R—MI W Furtive �y / `7 37
DRY BORE / STREET , CUT / SAW CUT
PERMIT
IN AMWFJ
RIGHT -OF -WAY / EASEMEtiNT
Submit permit request to the Engineering Dept., Town Center, 25-5 Parkway Blvd.
Date: Y - 60
PLRA71T FEE: $100.00
(No charge to Utility Companies with approved Franchise /ROW Use Agreement)
O Plants provided and approved
(Erosion Control /safety fences must be installed prior to beginning work)
Project Name /Location: WiNd&r Es la le-, - 17 Lot.S ('Del- rewi Rd �C
General Contractor: yx U CiQS Co
Permit issued to Company /Representative: Cha rle L. _ 6eg e, a<
Address: /(, .1OD Jh_ , LAI, FGrm eex RraAtck . 7y 75,23i/
IF Telephone ##: k9) 8 - f3e? Emergency Telephone ##: ?�-ry /✓�o ea
Moo.
(,utility Company Represented:
O - [X U Electric X TX U Gas 0 GTE O SWBell O Paragon
O CoServe Comm O Co Serve Electric O Other
If "Other" is checked, please note that franchise or right -of -way use 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):
�fcC� `To -e�—rye 1
N -Vas contact made with City and /or utility companies to locate existing utilities?
if ,W), Reason: YES O NO O
15 removal of existing streets, alleys or sidewalks necessary? YES O NO O
if }'F_ S, must have City inspection prior to concrete replacement
C.h C \v . bcc;, (� S
Dry Bore / Street Cut / Saw Cut Permit
Page 2
Represelztative(s) of the Contrac,or must adhere to all construction standards approved by the City of
Coppell, which includes but is not litnited to: Erosion Control Ordinance, compaction
re <Ittirements(density tests tmaY he required at the applicants e.ipense) and barricading according to
the Texas Manual on Uniform Traffic Control Devices. Area(s) affected must be restored to as good
O ?? as before the of work (gradtn?, dralr� age, vegetat101t, a11C1 erOSlon ('r�)lln "rJl
I" Any excavation requiring closm2 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 front 9:00 a.m. until 3:00 p.nt only unless otherwise approved by
City Engineer.
.Attach Work Order (franchise only).
Contact mist be made with City and utility companies to locate existing utilities 48 hours prior to
beginning of work.
? - `/-- 0
Signature of Utility COMPAi , Representative
8<4 /36&
Date
Signa�re of,,Contp4tor Representative
Date
Signature of City Representative Date
(Application with original signatures needs to be submitted to the Engineering Department before approval.)
Comments: TXU r w 'I C. � � / eIO►M► e �
Note: Notify City Inspector at 9721304 -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 indemnij_v ,rid forever hold harmless against the City of Coppell each and even
claim, demand or cause n, r action that may be made or come against it by reason of or i f anV WaV
arising out of the closure, blocking, excavating, cutting, tunneling, or other work by the applicant
wider permit front the City, if silch permit is granted.
`ornn; lxirrcut
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