FTTP-CR050520 (2)~a~ 20 05
'PELL
Page 4 of 4
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Contact Ci~ of Coppeli Public Works Division at 972-462-5155 to schedule an inspection
~ith Utility & Streets personnel to verify that )'our project has been completed to City of
Coppell specifica'tions/ Failure to schedule verification inspectton m/y delay future pro/ects.
Franchise Utility Name /~/~~ ~
Project Location / Applicant's Work Order ~
])ate of Verification Appoifltment ~/~/
lime of Verification Appointment ~ ' '~
,INFOR31ATION BELOW TO BE COMPLETED BY CITY OF COPPELI PERSONNEL
':' ht~oected ~}, .~/~ ~. _ of Utilities .$Ialnten~ce Division
a;*d found to ~~/ not
acceptable
becattse
FOllow-up needed.~)/ YES Follow-up schedtded for
,:' [:r~pect'ed by ' '
.... of Streets ;gIa,ttenance Division on
and./ba,d to be acceptable / not acceptable because
lrollow-up needed? ~%~ ,/YES Follow-up schedttled 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