FTTP-CR050513~a~ 18 05 07:42a
COPPELL
UTILITY RELOCATION IN ILIGHT-OF-WAY OR EASEMENT
Page 4 of 4
COMPLETION VERIFICATION NOTICE
Contact CiD, of Coppell Public Works Division at 972-462-5155 to schedule an inspection
~ith UtiliD, & Streets personnel to verify that your project has been completed to CiD, of
Coppell specifications. Failure to schedule verification inspection ma.}, delay future projects.
I rqJecl l.ocation / Applicant s Work Qrder
Sub-contractor Company Name
24 bP.Contact Number ~7~
~Date of Verification Appointment ~ ~ ~O~ '~~~
l'ime of Verification Appointment
INFO.MA7 ION BELOW TO BE CO51PLETED BY CITY OF COPPELL PERSONNEL
+ Inspected &1' ~/(//~w=~'c of Utilities JIai~ttenance OivBion on 5<
itot
Follow-lq~ needzd? ~/ YES
':' ltlspected by
arid found m be acceptable / not acceptable because
Follow°u? tteeded? NO / YES Follow-up scheduled for
acceptable because
Follow..up sch eduled for
of Streets Ylainlenance Division on
!ir
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