Cambridge Phase 1-PT 950213Ci~'£ of Cc_~pe!!
~e_-mit Issued To: Name:
Add=ess '
~ergenC~Z Phone:
- Public Works De,arC. men=
Projec~ Name: '~'/'L
."~.~e cf work/General ~esc=iptlon:
IIave ~ii City and/or Franchise utilities Been Contacted and
Zxistinq utilities Located: YES
wi!! It Be Necessa-"y to Excavate Street, A~ley or Sidewalk
pavement? YZS (a~tach ~erm. it) ~ NO
ReDresen:a.~ve(S) Of the Franchise/Con~rac~or mus~ adhere to al!
construction snandar~s approved hy the Ciuy of Coppel!, which
includes but is not limited ~: Compaction of Trenches and Bores,
and Barricading according ~o =he Texas'Manual on Uniform Traffic
Control Devices. A~ea(s) affected must be restored to as good
condition as before the commencement of work.
Any excavation requiring closing of a s=ree~ or alley must be
reported to the Police, Fire, and Public Works Depa_r~ments prioHJ~
to closing (462-1144, 462-1~33 and 462-8495}. - -
Attach Work Order (Franchise Only}
PER~iT
A:~ach Rarricad£nq/Detour Plan if a lane or s~--ee~- closure
app!ica~!e · .. _
Franch£se/Con=--ac~or Ke~resen=a=i'ze
~.-anch~nsuecnor/or C~-=1; ins.~ecnor
hold ha_--r...!ess aqains= each
k=uLiCann shall indemnLfy and fcr?zer
a~ eve~; c!aL~, demand cr cause cf action =han ma'/ be made cr come
aqains: ~ bY reason oi cr if any ~ay arisinq cu~ cf =he closure,
blocking, excavauinq, ?c'utning' ..... ~:' c=her work by =he
a~!icann under uermi~ from =he Ci=y, if such perm..i= is granned.
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.