Chaucer-PT 930305Bore/Excavation in Public Right-Of-Way Permit
City of Coppell - Public Works Department
Date: / g3
Permit Issued To: Name:
Address:
Phone=
Emergency Phone=
Project Name:
Representing:
Inspector: ~J ~7~ Phone: ~Z~ ) 1 ~-/~'~ I
IIave ~1 City and/or Franchise Utilities Been Con,ac=ed and
E~s=ing Utilities Located: YES / NO
Will It Be Necessa_~y to Excavate Street, Alley or Sidewalk
Pavement? Y~S (at~ach 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 =he Texas Manual on Uniform Traffic
Control Devices. Azea(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 =o the Police, Fire, and Public Works Depax~men~e prior
to closing (462-1144, 462-1133 and 462-8495).
A~=ach Work Order (Franohise Only}
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Fr ' /Contractor Representative
Dat~ /
Franchise Inspector/or C£~y Inspector
Date
Applicant shall indemnify and forever hold harmless against each
and every claim, demand or cause of action that 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 permit is granted.
PERMIT. PI{B
All 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.
/..~/_~ ~t sidle C/L
,,~ON (Jo ~P~II
~/ city or town
~/N PLANT
~' ~/~CHOOL DIST.
At
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19
LONE STAR GAS COMPANY
j Proposed
Sketch of I Completed } Project
Co. No.: //,~ 3 Region:
ER .R NO. 98-
MAP SHEET NO.(s)
SUMMARY OF PIPELINE CHANGES IN
DISTRIBUTION PLANTS
ABANDONED RETURNED TO NEW INSTALLATION
WAREHOUSE
Size Kind Feet Size Kind Feet Size Kind Feet
Original ER No. or Date of Installation for replacement and
retirement proiects only:
Date of this report