Blooming Colors-PT 940405Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date:
Permit
Issued To: Name:
Address:
Phone:
Emergency Phone:
Project Name:
Representing:
Inspector:
Type of Work/General Description:
IIave ~1 City and/or Franchise Utilities Been Contacted and
Existinq Utilities Located: ~ YES NO
Will It Be Necess~ to Excavate Street, ~ley or Sidewalk
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. Area(s) affected must be restored to as good
condition as before the commencement of work.
Any excavation requiring closing of a street
reported to the Police, Fire, and Public Works
to closing (462-1144, 462-1133 and 462-8495).
or alley must be
Departments prior
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Representative
Date
Franchise Inspector/or City Inspector
I~_uy R~resen=a~ive
Date
Applicant shall indemnify and forever hold harmless agains= each
and even! claim, demand o~ cause of action than may be made or come
against it by reason of or if any way arising out of the closure,
blocking, excavating, cutting, tunneling, or other work by the
applicant under permit from the City, if such pezTait is granted.
PER.MIT. 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 WETBORESALLOWED!