Asbury Manor-PT 980421Bore/Excavation in Pu3olic Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date:
Permit Issued To: Name:
Address:
Phone:
~ergency Phone:
Representing:
Inspector:
~e of Work/General Description:
Phone: {
~ave J_!l City and/or Franchise Utilities Been Contacted and
Existing utilities Located: YES NO
Will It Be Necessa~!z to Excavate Street, Alley or Sidewalk
Pavement? YES (attach permit) /' 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. Area(s) affected must be restored to as good
condition as before the commencement of work.
A~y excavation requiring closing of a street or alley must be
reported ~o the Police, Fire, and Public Works Depa_~ments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PER2~!T
A~tach ~arricading/Detour Plan if a lane or street closure is
applicable.
Franck~_~/Contractor Representative
Daue
Franchise Inspector/or City Inspector
Ap.~ vecl,C~i ~'/_~6/Re p r e s e nta ~ ire
Date .....
Applicant shall indemnify and forever hcld harmless against each
and eve~/ claim, demand or cause of ac;ion that may be made or come
against it by reason of or if any way arising out of the closure,
b!ccking, excavating, cutting, tunneling, or other work by the
applicanu under perrmit frcm the City/ if such perry, it is granted.
P ER~IT. 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 W-ET BORES ALLOWED!
FINAL. PLAT
ASBURY MANOR
12.691 A~es
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