FTTP-CR050607 (3)5un O? 05 03:22p
ELL
p.1
Pa~e 4 of 4
UTLLITY RJ~LOCATION iN RIGE[T-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
:ontact City of CoppeL1 Public Works Division at 972-462-5155 to schedule an inspection
4th Utility & Streets personnel to verify that your project has been completed to City of
:oppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name //¢"/,~A.S
Sub-contractor Company Name
24 hr. Contact Number ~'""/'~- ~ ~7 ~ .- -.~ ~'/7
Date of Verification Appointment
Thne of Verification Appointment
Y CITY OF COPPELL PERSONNEL
zd found to be j,e7 not acceptable because
~llow-up needed? ~1 YES Follow-up scheduled for
Inspected by of Streets Maintenance Division on
td found to be acceptable / not acceptable because
~llow-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