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UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Contact City of Coppell PubH~ Works Division at 972-462-5155 to schedule an inspection
with Util/ty & Streets personnel to verify that 3'our 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 # {il'applicable} .~'~)~
Sub-contractor Company Name P4~/:> ~e~/~e_l
24 bt. Contact Number ~f7- 7~35- - e/?~'7
Date of Verification Appointment /- y -~
Time of Verification Appointment /~.'oo ~* ~',
L'~TORMATION BELOW TO BE COM~'LETED BY CITY OF COPPELL PERSONI~EL
Inspected ~y Z~'ea'J"~//,//~of Utililies Maintenance Division on / -,~-~0,~
and found to be~ not
Fotlow-up needed?~Vc_~Y YES
Inspected by
acceptable because f)~r~ 4t~ ~-. /P~/q~/'~9_
Follow-up scheduled for ~---.
of Streets Maintenance Division on
attd found to be acceptable /not acceptable because
Follow-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., Coppeil TX 75019
Office: 972-304-3679 Fax: 972-304-3570
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