FTTP-CR050630 (2)3u~ 30 05 0~:23p
COl'FELL
UTILITY RELOCATION IN RIGItT-OF-WAY OR EASEi~tENT
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 inspec6on may delay future projects.
Franchise Utility Name ~/~ 5~.~' ~Z'E. ~t~_ f~
Project Location / Applicant's WorkOrder # (ir appllcableL~F/~' d) t/ ~'-y
-
Sub-contractor
Company Name ~Q.///5/A~;~/9~?~r~
24 hr. Contact Number ~'~7 E-
Date of Verification Appointment
Time of Verification Appointment
INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
. /9~'~ .....
Inspected by~~ of Utilities Maintenance Division on ~ -~zo - of
and found to b~e~ not acceptable because
Follow-up needed.~/ 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., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570