Asbury Manor-PT 980909Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l
Date: ~ / ~ /~
Permit Issued To: N~ane:
Address:
- Public Works Department
Project Name: C¢~11; /'//~ ,~/'h~C 5~hTi.f
Phone:
~ergency Phone: . ! ~
ns tor: Phone:
~"~pe of Work/General Description: ~/9 C~
Location of Work: /~' ~ ~ ~ ~'~ r'~
Have ~1 City and/or Franchise Utilities Been Contacted and
Ezistinq Utilities Located: YES 1~
will It Be Necess~ to Excavate Street, ~ley or Si~
Payment? YES (attach pe~it) NO
Representative(s) of the Franchise/Contractor must adhere to all
construction standards approved by the City of Coppell, which
includes but is not limited to: Compaction of Trenches and Bores,
and Barricading according to the Texas Manual on Uniform Traffic
Control Devices. ~rea(s) affected must be restored to as good
condition as before the commencement of work.
Any excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Depa_r~_ments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PEP~IT
Attach ~arricading/Detour Plan if a lane or street closure is
applicable.
._anch_se Inspector/or City Inspector
Da~e
Date
Applicant shall indemnify and forever hold harmless against each
and eve~/ claim, demand or cause of action that may be made or come
agains~ it by reason of or if any way arising out of the closure,
blocking, excavating, cutting, ~unneling, or other work by the
applicann under pe-~m, it from the City, if such permit is granted.
P ER~HIT. PHB
Ail contractors will contact Public Works @ 462-8495 to have
trenches and/or open cuts inspected prior to back fill operation
taking place. Staff will be sent to inspect the project.
* NO WET BORES ALLOWED!