Burch Lot 2-PT 941118City of Ccppe!! - Public works Department
Issued To: Name:
Add=ess-.
Phone:
~:nergen~ phone:
Pro jec= Name:
~e cf work/General Description:
Phone: ,zI~ ~151~-.
Have ~!i City and/or Franchise utilities Been Contacted and
Existinq Utilities Located: YES ~
NO
Will It Be Necess~ to Excavate SCreet, ~!ey or Side~a!k
Pav~cnt7 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. /%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 DeparTments prior
to closLng (462-1144, 462-1133 and 462-8495).
Attach work Order (Franchise Only)
Attach Barricading/Detour Plan if a
applicable. _
closure
Franchise/Cont--ac~or Re_uresen=ative
Franchise
Inspector/or C£~y inspector
Da-~ '--/ '
Applicant shall indemnify and for~.zer hold ha_--m.!ess againsn each
and eve~I claim, demand cr cause cf action =ha~ ma'! be made or come
agains~ it by reason of. or if any way arisinq ou~ of ~he closure,
block!hq, excava=inq,-c.u::ing, .... ~ ~' o=her w~rk by
applicann under pe=rm.i: from the Ci:y, if such perm. i: is granted.
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.