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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 your project has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delay future projects.
rranckise Utility Name -~¢ ~Ja~-ne~-
Project Location / Apphcant's Work Order g
Sub-coutractor Company Name. ~ [p ~_,
24 hr. Contact Number ~17- ~3~- ~7
Date of Verification Appointment /-~-as~
Time of Verification Appointment fi ;oo
~FO~A~ON BELOW IO BE COg~LE~D BY CI~ OF COPPELL PERSON~'EL
.:. Inspected by P,d~/~*'r,~,~4~,~_of Un'rifles Maintenance Division on / -~
and found to be ~not acceptable because ~ ~ ~ ~ .o ~
Follow-up needed~ &~ YES Follow-up scheduled for ~
q. Inspected by of Strects Maintenance Division on
attd found to be acceptable / not acceptable because
Follow-up ~teeded? 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
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