FTTP-CR050628,Tun 29 05 03:39p
COFFELL
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
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Page 4 of 4
COMPLETION VERIFICATION NOTICE
Contact City of Coppeil 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
Coppell specifications. Failure to schedule verifictm'on inspec6on may delay future projects.
Franchise Utility Name ~/~/~/~ ~ '~/~' 7~'~'
Project Lgcation/, Applicant's WorkOrder # (iravvu~b.e) ?~.~,/r C¢~
Sub-contractor Company Name
24 hr. Contact Number ~ ~
Date of Verffication Appo~tment
T~e of Verification Appo~tment
~O~ATION BELOW ~ BE COMP~D BY CI~ OF COPPELL PEYOTL
+ Inspected by ~.~ . of Ualiffes MMnten~ce D~ision on
~d found to b~/ not accept~le because
Fo~ow-up needed? ~ YES Follow-up scheduled for
· :' Inspected by of Streets MMnten~ce ~vision on
~d found to be ~cept~le / not accept~le 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., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570