FTTP-CR041026Page 4 of 4
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Contact City of Coppeli Public Works Division at 972-462-5155 to schedule an inspection
with Utility & Streets personnel to verify that your project has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name
Project Location / Applicant's Work Order # (if applicable)
Sub-contractor Company Name
24 hr. Contact Nmnber ~q/~'- J~//- ~/ ,-? ¢gb- -Yql- ~,¢z?
Date of Verification Appointment
Time of Verification Appointment
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONN]~L
· :. Inspected by l)~ww~ of Utilities Maintenance Division on
and found to he--not acceptable because
Follow-up needed.~YES~'""~--z'~ Follow-up scheduled for
· :. Inspected by of Streets Maintenance Division on
attd found to be acceptable / not acceptable because
Follow-up needed? NO / YES Follow-up scheduled for
-..,,
). /W ox.
A copy of this completed notice is to be provided to:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570