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'ELL
UTILITY RELOCATION IN RIGHt'-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
p.!
Page 4 of 4
Contact City of Coppell Public Works Division at 972462-5155 to schedule an inspection
with Utility & Streets personnel to verify that your project has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name /~/~/~'~z~7~/TfjT/~
Project Location / Applicant'~WorkOrder # (il'appllcable)"~Pfi-~/ ~ ~
Sub-contractor Company Name
24 hr. Contact Number
Date of Verification Appointment
Time of Verification Appointment
IN'FORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
': Inspected by ~ of Utihttes Maintenance D~dsion on
and found
to
b~ not acceptable because
Follow-up needed?~N.~ YES Follow-up scheduled for
':' Inspected by of Streets Maintenance 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:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppeil TX 75019
Office: 972-304-3679 Fax: 972-304-3570