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Townhouses-PT011029A copy of the approved permit must be on the job site at all times. T H [ • C 1 T Y • O R COPPELL COPY r F q o , a ,e aQ T USE PERMIT APPLICATION Submit permit request to the Engineering Dept., Town Center, 255 Parkway Blvd. Date of Submittal: - — 0 PERMIT FEE: $100.00 (No charge to Utility Companies with approved Franchise /ROW Use Agreement) License Agreement Approved (date) / / Certified Telecom Provider? Y N ❑ Plans provided and approved (Erosion Control /safety fences must be installed prior to beginning work) Project Name / Location: General Contractor: 4 w Permit issued to Company/ Representative: RoN II I ff c Address: W, ELIn Lewisvl'/ /P, Ty 7:5nO Telephone # 9 72 - y3 -oJaa Emergency Telephone #: Utility Company Represented: ❑ TXU Electric ❑ TXU Gas erizon ❑ SWBell ❑ Paragon/AT &T Broadband ❑ CoServe Comm ❑ CoServe Elect. ❑ Other ➢ If "Other" is checked, please note that franchise or righ"f -way use agreements will be required and need Council approval prior to beginning work. Permit cannot be approved until that time. ➢ Was contact made with City and /or utility companies to if NO, Reason 'fR hrs, o ril r fo Cai? S7�1 Lic s ➢ Is removal of eidsting streets, alleys, or sidewalks necessary? if YES, must have City inspection prior to concrete replacement utilities? YES ❑ YES ❑ L' �c General T)e_crrintinn of Wnrk tnravide cnnv of annrnved n1an0! Right -of -Way Use Permit Application Page 2 EMMMMMO 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 Departments 972- 304 -3600 Fire Department @ 972 3043500 Street Department @ 972- 3043546 Engineering Department ® 972- 3043679 > 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. L .-L LcLz- P=oN4 lu Y14;7(ZIV Signature f Utility Company Representative Printed Name Date Signature of Contractor §rep sentative Printed Na Date I D I Signature of City Representative Printed Name Dat (Application with original signatures needs to be submitted to the Engineering Department before approval.) > Comments: All ik \ VIR Jams Y AUSt CD t''YY� to U�T�- . �n�s 1Ul I�, rC . > NOTE: Notify City Inspector at 972 - 304 -3679 prior to beginning work and prior to backjW 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. I 00 7) 32482 M °2 o- 189' 2422.10 AEF 200 -24 C3601.601 -750 XDD,151 -200 16 •10037 (86) o- M °232489 646'2423.10 AEF 900 -24 X00.1 -600 C7,1901 -2200 12 AEF 300 -24 140' 2423.10 M•232483 8 10052 (86)o— C3601.601 -900 •10038 2423.10 (86) M °251353 1800 TYP MS2/ IN C7,1901-2200 IN XDD.301 -500 (IN XDD 501 -900)<1> OUT - U - NIM w e gDRE UNDER S G 50 A `NABOV W AT ER AND CL 0 3567459 (PP) a - (3P003YW> M 500'2423.10 AKF 400 -24 C3601.901-1300 (PP> &10038 0.100 48 (86) o— M °232482 120' 2422.10 AEF 200 -24 C3601,301 -500 © °10040 (86) o— M °232483 96' 2423.10 AEF 300 -24 C3601.1 -300 °10039 (86)o— \ M•232483 334' 2423.10 AEF 300 -24 C3601,1 -300 — •10039 o— �' �i� 4• p 9 03 b o G� AGARTNUR M _ Y iz w . ......................... �J " G • � - ' W - WORK SAFELY N M j to- -TELE. CABLE J . e a 1 J W J TRENCH CABLE 1' B.O.0 AND 30 DEEP GENERAL NOTES 1. CONSTRUCTION FOR THIS PROJECT WILL BE 7. PROTECTION FROM DAMAGE IN THE PERIOD BETWEEN DONE OBSERVING ALL THE REQUIRED RULES MAKING EXCAVATION AND FINAL PLACEMENT IS AND REGULATIONS. PROPER SIGNS WILL BE INCLUDED AS PART OF THE BACKFILL FOR TRENCHES PLACED ALONG R.O.W. AS REQURED BY STATE. OR EXCAVATED CABLES. COUNTY, AND CITY. B NO F OR EXCAVATED CABLES F THE BACKFILL EE E 2. ALL CONSTRUCTION WILL CONFORM TO GENERAL SYSTEM PRACTICES. 9. LOCATION OF UTILITIES IS THE RESPONSIBILITY OF TH CO HER OR NOT SUCH LOCATIONS 3. WHERE PERMITS FROM STATE COUNTY, E ONOPRI+NTS TOWNSHIP.CITY,RAILROAD.OR GOVERNMENTAL AGENCIES ARE REOUIREO.ALL WORK PER- 18.ANY DAMAGE TO UTILITIES IN THE COURSE OF FORMED WILL COMPLY WITH THOSE AGENCIE'S THE WORK SHALL BE REPAIRED BY THE CONTRACTOR STANDARD SPEC'S AND SAFETY RULES. AT HIS OWN EXPENSE. 4. FACILITIES ARE PLOTTER USING AVAIL - 11.RIGHT -OF - NAY SHALL BE SMOOTHED WITH ALL VOIDS OPERATIONS ABLE PLANS AND FIELD OBSERVATIONS. FILLED BEHIND PLOWING OR EXCAVATION THE ACTUAL LOCATION AND DEPTH OF DAILY.UNDERGROUND OBJECTS ENCOUNTERED AND BROUGHT UTILITIES TO BE VERIFIED BY PLACING TO THE DURING PLOWING OR EXCAVATING CONTRACTOR. THE PLACING CONTRACTOR IS SURFACE SHALL 8 PROMPTLY REMOVED FROM THE RIGHT -OF -WAY. TO NOTIFY STATE.000NTY,CITY AND ALL OTHER UTILITY COMPANIES 48 MRS PRIOR TO 12. ALL BE FIRST GTE DEVIATIONS CONSTRUCTION START. RCHANCES E NGINEE RING . 5.ALL RIGHTS OF WAY SHALL BE RESTORED 13.GTEPS ROUTE & MARKER SIGNS AS DIRECTED BY TO ORIGINAL OR BETTER CONDITION. . 6.CABLE WILL BE PLACED AT MINIMUM DEPTH OF 30'UNLESS SPECIFIED OTHERWISE. NOTE AREA- SPLICING,BONDING & GROUNDING WILL BE DONE PER GTEPS, o sll AREA I STATE: TX DIVISION: NCENTRAL EXCH. :5647 REM.CD: 000 W -C.! 4620 IWO NO.: 3PO03YW CONTROL NUMBER: TWP: L� ISD 11/15/01 Hr P TOWNHOUSES OF COPPELL I TAX DST.: RNG.: SEC.: f SAL: /17/01 IREV. DATE: 10/17/01 CALE: 1• =40' WPi ORWN EN 1APRVD PRINT MM MM i OF 4 11 0 10047 (86)o- M °232483 62' 2422.10 AEF 300 -24 C3601.301 -550 XDD.251 -300