Burch Lot 3-PT 951012Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date: /O / /1 / f~ Project Name:
Permit
Issued To: N~me:
Address '
Phone:
~mergency Phone:
/
Have ~1 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 Mnnual on Uniform Traffic
Control Devices. A~cea(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
repot=ed to the Police, Fire, and Public Works Depa_~tments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PER~{IT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Repr~n~ative
Franchise/Contractor
Date
Franchise Inspector/or C£ty Inspector
Date
kpo!icant shall indemnify and forever hold ha~-nless against each
an~ eve~! claim, demand or cause of action that may be made or come
against it by reason of or £f any way arising out of the closure,
blockinq, excavating, cutting, tunneling, or other work by the
applicant under pe-~rn, it from the City, i~ such permit is granted.
PEri, 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!
EXHIBIT "A"
z
z
50'
THIS EXHIBIT SKETCH IS FOIl
REVIEW ONLY. THE ACTUAL
LINE LOCATION MAY VARY UPON
COMPLETION OF THE PROJEOT.
LONE STAR GAS COMPANY 6
ENGINEERING DEPT. DALLAS.TEXAS
THE BIRCH ADDITION LOT 3, BLK Ag,
DnAW. KBP
DATE 8~9/95
cxK'o. SCALE NONE
ER - 95-7072
MAP SHEET NO.
15