Austin Place-PT 970311Bore/Excavation in public Right-Of-Way Permit
City of Coppe!l - Public works Department
Date:
3 / // / F~ Project Name:
Permit Issued To: Name:
AdcLress.:
Phone:
~mergency Phone:
IIave A_ll City and/or Franchise utilities Deem Contacted and
Existing Utilities Located: / YES NO
Will It Be Necessal-y to Excavate Street, Alley or Sidewalk
parchment? YES (attach permit) ~ NO
Repre~entative(~) of the Franchi~e/Con~rac~or mu~ adhere ~o all
constructio~ 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 ~%nual on Unifo~ Traffic
Control Devices. ~ea(s) affected must be restored to as good
condition as before the co~encement of work.
Any excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Depam~_ments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE
PER~{IT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractorc~presenta
Date
Franchise inspector/or City Inspector
Date
pp_oved~-ty Represencative
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~a~e .......
Applicant shall indemnify and forever hold harmless agains: each
and eve~; claim, demand or cause of action Lhat may be made or come
against ~t by reason of or if any ~ay arising out of the closure,
blocking, excavating, cutting, Lunneling, or other work by the
applican: under pe-~m- it from the City, if such permit is granted.
pE~(IT. PIIB
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!