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UTLLITY ILELOCATION IN R1GEtT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
2ontact City of Coppell Public Works Division at 972462-5155 to schedule an inspection
/ith 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 ,/¢"/~,~.S
:if,,,appllca bl e)
Project Loca~gn ( Applicant's WorkOrder #, .
Sub-contractor Company Name ,
24 bt. Contact Number q""/~-
Date of Verification Appointment .~- / ~ ~-j
Time of Verification Appointment
Inspected by )~//~,,~c of Utilities Maintenance Division
rd found to be~/ not acceptable because
]llow-up needed? 0 / YES Follow-up scheduled for
Inspected by of Streets Maintenance Division on
Id found to be acceptable / not acceptable because
>llo v-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