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UTILITY R~ELOCATION IN RIGFIT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
;ontact City of CoppeLl Public Works Division at 972-462-5155 to schedule an inspection
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 ,"~/~?,~.g t't,4~.y&..~
Project Loca~n , Apphcants WorkOraer #
Sub-contractor Company Name ~'/~f.~'igl
24 hr. Contact Number ¢"~- ~
Date of Verification Appointment
Time of Verification Appointment /
Inspected by ~/~//~ of Utilizes MMntenance Di~sion on
>llow-up needed?~ YES Follow-up scheduled for
Inspected by of Stree~ M~nten~ce ~vision on
~d found to be accept~le / not accept~le because
glo~-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