Big Cedar-PT 921030Bore/Excavation
in Public Right-Of-Way Permit
City of Coppell - Public Works Department
Address:
Phone:
Emergency Phone:
Representing:
Inspector: Phone:
Type of Work/General Description: ~ C~
/
Location of Work: ~,~C~/~~v~.f;.,~v
}Iave All. City and/or Franchise Utilities Been Contacted and
Existing Utilities L0cated: / 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. Area(s) affected must be restored to as good
condition as before the commencement of work.
Any excavation requiring closlng of a stroet or alley must be
reported to th~ Police, Fire, and Public Works Departments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach
Barr~ca~ng/Detour~JJ~'-- Plan if
applicable.
Franch~/C°ntractor Representa rive
a lane
_ Franch~ Inspector/or City Inspector
Date
Applicant shall indemnify'and forever hold
and every claim, demand or cause of action that.i~
against it by reason of or if any way arising~
blocking, excavating, cutting, tunneling, or
applican= under permit from the City, if such
PERMIT.PHB