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Page 4 of 4
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Contact City of Coppell 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 fu~re projects.
Franchise Utility Name ~.,~,~ la)~,~-
Project Location / Applicant's Work Order #
Sub-contractor Company Name ~Ap ~&~/
24 hr. Contact Nmber ~17- 23.~-
Date of Verification Appointment /- ~ --
Time of Verification Appointment ~ o ~ ~
~O~ON BELOW TO BE CO~LE~D BY CI~ OF COPPELL PERSOh~'EL
~. Inspected by ~ / ...
/.7Z ~of Ualtaes Matntenance ~'vision on /-~
and found to be~ not accept~le because ~
Follow-ap needed?~ YES Follow-up scheduled for
· > Inspected by ~ ~ of Streets Maintenance Division on
and found to b~ta~ not acceptable because
Follow-up needed? ~ YES
Follow-up ~cheduled for ~ __
A copy of this completed notice is to be provided to:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppeli TX 75019
Office: 972-304-3679 Fax: 972-304-3570