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UTILITY RELOCATION IN RIGHT-OF-WAY 'OR EASEMENT
Page 4 of 4
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 youi'-pr0fgct has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name ~;n~ ~J~r~,r
Project Location / Applicant's Work Order #
/
Sub-contractor Company Name h~ ~ P N~,/ea~/ 7~s
24 hr. Contact Number 917- ~.35'- ~7
Date of Verification Appointment /-~' .- o
Time of Verification Appointment .~.%~ ?~
e,YO~.tnT~O~ S~LOW TO ~ COM?L~T~ ~¥ crrv o~ COPP~LL P~SO.~L
.'.. Inspected by ~,~ ]/~.~:.~. of Utilities Maintenance Division on
and found to he--tot acceptable because
-_
Follow-up needed? .~ YES Follow-up scheduled for
· ~. Inspected by of Streets Maintenance Division or!
and 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., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570