FTTP-CR050513 (2)Ma~ 16 05 07:42a p.3
COPPELL
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
Page 4 of 4
COMPLETION VERIFICATION NOTICE
Contact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection
~/th Utility & Streets personnel to verify that your project has been completed to Cit.,,, of
Coppe[I specifications. Failure to schedule ver~cation inspection may delay fitture ~rojects.
Franchise Utili~' Name ~/)q ~' ~ ~*
~ __'~.
Project Location / ~p!icant's Work Order.
,
Sub-contractor Co:npany Name
24 bt. Contact Number ~-'~,Q-
i)ate of Verification Appointment
V;:::e of Verification Appointment
INFOR3,1ATION BELOW TO BE COMPLETED BY C1T¥' OF COPPELL PERSONNEL
.
· :' Insure 'd o2'J//5/,~/-o,,/~ -it o_fUtilities.31aintenanceDivision on 5~-/Y -o~~--
cn;d foto: ~ ,':, be ~tab~ not acceptable because
Fo#ow-r, 'l.,eded?~V Y£S Follow-up scheduled for
· :' Inspc,~ ~'d by of Streets Maintenance D/vision on
and fotn~ ' 'o be ac.:eptablc /not acceptable because
Follow-tr, needed? ]VO / YES Follow-up scheduled for
A cop}, of this completed notice is to be provided to:
City of Coppell Engineering Dept.
255 Parkwa) Blvd., Coppell TX 75019
Office: 972-30,4.-3679 Fax: 972-304-3570