Austin Place-PT 960917Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!i - Public Works Department
Date: ~ / /7 /~ Project Name:
Permit Issued To: Name:
Adchress:
Phone:
~ergency Phone:
Inspector:
~pe of Work/General Description:
Location of Work:
Phone:
Have A_ll City and/or Franchise Utilities Been Contacted and
Existing Utilities Located: YES ~ NO
Will It Be Necessary 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. ~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_~tments prior
to closing (,%62-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
a~p
9-/
a~£ns~ i~ ~7 ~aasom cf or if any wa? arisinq ou~ o{ ~he closure,
All con,fac=ors will contact Public Wor~s ~ 462-0495 to ~ave
~:2:enc~es and/or open cu~s inspected prior ~ ba~J~ fill opera~ion
~9 place. ~aff will ~ a~ ~o ins~ ~e ~J~.