FTTP-CR050520~a~ 20 05 09:50a
P~ge ~ of ~
UTILITY RELOCATION IN IIlGHT-OF-WAy OR EASEMENT
,COMPLETION VERIFICATION NOTICE
Contact CiW 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 to City of
Coppell specifications. Failure to schedule ver~cation inspe~ion m~lay fut~e projects.
P~c~Lo?tion / Applicant's Work Order ~ (if applicable) ~.
Sub-contractor Company Name
24 bt. Contact Number ~'~'7 ~2
Date of Veri~cation Appointment
Time of Veritication Appointment '7: ~,~ ~
, INFOI~MATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
. of Utilities iVlaintenance Dlvlsiott oil 1'~'~.-o -<~.~
ai~d found to be ~/ not acceptable becattse
Fo~Iow-up needed? ~ i YES Follow-up scheduled for
· .". bzspected by __ of Streets Maintenance Division on
aJ~d found to be acceptable/not acceptable becat~,e
Vollow-up needed? NO / YES Follow-up scheduled for __
A copy of this completed notice is to be provided to:
Ci~ of Coppell Engineering Dept.
255 Parkway Blvd., Coppell TX 75019
Office: 972~304-3679 Fax: 972-304-3570