FTTP-CR050630~ Jun 30 OS 03:59p
COPPELL
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASE/VIENT
p.1
Page 4 of 4
COMPLETION VERIFICATION NOTICE
Contact City of Coppell Public Works Division at 972-462-5155 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 .~fff5 7P7~,~/~ ~
Project Location / Applicant's WorkOrder # of ~ppU~ble),~/~/~/~/~"
Sub-contractor Company Name/~]/')'
24 hr. Contact Number ~/7~
Date of Verification Appointment
Time of Verification Appointment
~voPa~X~o~ ~row xo ~ cotnP~v ~y cIxv or coPP~r P~so~r
':' Inspected by ~'~fe~/~c of Ualiaes Maintenancb Division on
and found to bell not acceptable because
Follow;up needed?~O// 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