Cambridge Phase 1-PT 950202Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date:
Permit
Issued To: Name:
Address-.
Phone:
Emergency Phone:
Representing:
InspeCtOr:
Phone:
T~rpe of Work/General Description:
Location of Work: ~l~g ~ ~ · ~/~F
Have ,il City and/or Franchise gtilicies Been Contacted and
Existinq Utilities Located: / YES
Will I~ 3e Necess~ to ~xcav~te Street, ~ley or Side~alk
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. ~%rea(s) affected must be restored to as good
condition as before the commencement of work.
A~y excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Depa/-tments prior
to closing (.%62-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PER~!T
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Representative
Franchise
Appruv~
Inspector/or City Inspector
Applicant shall indemnify and forever hold harmless against each
and eve~/ claim, demand or cause of action that may be made or come
against it by reason of or Lf any way arising out of the closure,
blocking, excavating, cutting, tunneling, or other work by the
applicant under per~. it frcm the City, if 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!
MAIN
r-
'<2
; r~ o
r,~oDr E
TOTAL - . 4"
--~ ~ ; ~A ~ e POLY VALVE
NO WET BORE ~eg
~ALLOWED *('O'behinu P.L. e Lot Line)
LONE STAR GAS COMPANY
BUSINESS D~ELOPUENT DEPT,
NONE ~ ~*w" "W- NABOR~