FTTP-CR050512Page 4 of 4
?FELL
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Contact CiD' of Coppell Public Works Division at 972-462-5155 to schedule an inspection
~ith Utilit)r & Streets personnel to verify that your project has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delayJbture projects.
Franchise Utility Name
Sub-contractor Company Name
24 hl'-Contact ~umber ~7~-
Tim c of Verification Appointment ~.'
INFORMATION BELOW TO BE COMPLETED BY CIIY OF COPPELL PERSONNEL
+ D~spected &l' /~/~ ~/~ ~ of Utilities ~llaintenance Division on
[ollow-up needed?~/'~YES Follow-up scheduled for
· ~' Inspected ~1~ ~ of Streets ~laintenance Division on
and found to be acceptable /not acceptable because
Follow-up needed? NO / YES Follow-up scheduled for
A copy of this completed notice is to be provided to:
CiD' of Coppell Engineering Dept.
255 Parkway Blvd., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570