FTTP-CR050331~ar 3! 05 03:58p
¥ o ?
ELL
UTILITY RELOCATION IN RIGItT-OF-WAY OR EASEMENT
Page
COMPLETION VERIFICATION NOTICE
)ntact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection
ith Utility & Streets personnel to verify that your project has been completed t..o~City of -,
~ppell specifications. Failure to schedule verificat¥on inspect~/a etcty/:~:re r, ejs~;~. '"' ~
Sub-contractor Comp.y N~e ~: ~ .~z*-~ ~:~
24 hr. Contact Number ~'7 ~
Date of Verification Appointment
Time of Verification Appointment
INFORMA~TION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
Inspected by ~w~.~ /~/~//~o~ Utilities Maintenance Division on ~ ~/'of~
found to be ac~ep_t~le~,tot acceptable because
Ollow-up needed~__O~/ YES Follow-up scheduled for
Inspected by of Streets Maintenance Division on
nd found to be acceptable / not acceptable because
'ollow-up needed? NO / YES Follow-up scheduled for
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
~ar 31 05 03:58p