Spectrum-PT190624RIGHT-OF-WAY USE PERMIT APPLICATION
Permit valid for 90 calendar days from date of approval
Submit permit application to the Engineering Dept., Town Center, 255 Parkway Blvd. or e-mail to engineer@coppelltx.gov (see button below)
Date of Submittal: Applicant’s Job # / Work Order #
PERMIT FEE: $100.00
(No charge to Utility Companies with approved Franchise/ROW Use Agreement)
Refer to the City of Coppell Ordinance No. 2001-944. Certificated Telecom Provider?
Utility Company Represented:
Oncor Electric Delivery Atmos Energy Verizon SBC/ AT&T
Time Warner Cable CoServ Electric/Gas Other
Estimated Start Date Estimated Completion Date*
* Completion requires submittal of Completion Verification Notice (see page 4)
¾Was contact made with City and/or utility companies to locate existing utilities?
if NO, Reason: Yes No
¾Is removal of existing streets, alleys, or sidewalks necessary? Yes No
if YES, project must have City inspection prior to concrete replacement
CC: Applicant
Public Works
Permit File
Orig. to Project File
Page 1 of 4
Rev. 06/2012
A copy of the approved permit must be on the job site at all times.
Yes No
General Description of Work (In accordance with Ord. No. 2001-944): PLEASE ATTACH PLAN OF PROPOSED WORK
Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work)
General Contractor
Project Name/Location or address
Contact #
E-mail address to return permit
E-mail address:
Telephone #:
Representative:
Franchise
Company:
(for contact if needed/if e-mail of approved permit is desired/permit cannot be e-mailed unless complete)
CHARTER SPECTRUM
5(3/$&('$0$*('8*&$%/(,152: $//%25(
&DEOHQHHGVUHSODFHGIURPWDSDWJUHHQULGJHGUWRWDSDWJUHHQULGJHGU&DEOHLVFXWXQGHUQHZ
DOOH\GULYHZD\DWIWIURPWDSDQGIWIURPWDS1HHGVDSSUR[IWWRUHSODFH
*5((1%5,'*('5 &5266675((7 +,//+$9(1'5
KINETIC SOLUTIONS LLC 972-832-7665
KEVIN_PIATT@KINETIC-ENG.COM
LYLE.BRADLEY@CHARTER.COM
214-846-5286
LYLE BRADLEY
Right-of-Way Use Permit Application Page 2 of 4
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
applicant's 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). To schedule Public Works final inspection (Page 4) call 972-462-5155.
¾Any excavation requiring closing of a street/alley must be reported prior to closing to the following:
Police Department @ 972-304-3600
Fire Department @ 972-304-3512
Street Department @ 972-462-5150
Engineering Department @ 972-304-3679
¾Attach barricade plan / trench safety plan if a lane or street closure is required.
NOTE:Street closures are allowed from 9:00 a.m. until 3:30 p.m. ONLY unless otherwise approved by City
Engineer.
¾Attach Work Order (franchise only) and/or 1 set of prints showing proposed work.
Locates for existing franchise utilities must be done 48 hours prior to beginning work.
For City utility locates, call 972-462-5155 to schedule 48 hours prior to beginning work.
The application with signatures of Franchise and Contractor representatives must be submitted to Engineering
Dept. for approval prior to beginning work. Submittals by e-mail should go to engineer@coppelltx.gov.
¾NOTE: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 under permit from the City, if such
permit is granted.
Comments
Printing your name indicates your acceptance of the terms and conditions of this form:
(if you want the approved permit returned via e-mail, provide a valid e-mail address on Page 1.)
DateSignature of City Representative
DateSignature of Contractor Representative
DateSignature of Utility Company Representative
KEVIN PIATT
LYLE BRADLEY
24 June 2019
Coordinate access to private property with all residentsadjacent to work area prior to beginning construction.