FTTP-CR050606 (2)Jun OS 05 03:25p p. I
ELL
Page 4 of 4
UTLLITY I:LELOCATION IN' RIGHT-OF-WAY OR EASE3'IEN I'
COMPLETION VERIFICATION NOTICE
:ontact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection
dth Utility & Streets personnel to verify that your project has been completed to City of
;oppell specifications. Failure to schedule verificalion inspection may delay future projects.
Franchise Utility Name /("/~;AI$
· . . ,
ProJect Locatipn / App, hcant s WorkOrder #
Sub-contractor Company Name
24 hr. Contact Number ~'~7'~ '- 9'/~ - -~ ~]'! 7
Date of Verification Appointment
~dfoundtobea~ept~le~not
~llow-up needed?~/ YES
£nspected by
Time of Verification Appointment
[1VFOILVtATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
Inspected by Oh,~'f'.)' ~
/¥/~,~ of Utilities Maintenance Division on d '~/ -0 ~
acceptable because
Follow-up scheduled for
of Streets Maintenance Division on
td found to be acceptable / not acceptable because
dlow-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