Latter-day-PT 941007LSG RICHFIRDSON
TEL'--o14-255-4690
Oct 07..~"9~
12:5Z No.O04 P.02
Bore/Ex, evaSion in Pu~llc Right-Of-Way Pex~/t
City of Ceppe!l - Public Works Depax~menu
Ps=mit Islue~ To: Name:
~mergencyPhone:
IZave ~%11 City and/or Franchise Utilities Been Contacted and
Will It~e Necessary to Excavate Skeet, ~leyor Sidewalk
Pavement? YES (at=ach permit) ~N0
Representative(s) of the Franchise/Con,rat=or must adhere =o all
=onstru=:ion snandar~s approved ~y the City of Coppell, which
includes but is not limited to= Cem~action of Trenches and Boris,
and Barricading according to the Texas ~anual on Un~form Traffic
Control Devices. Area(s) affected must be restored to as good
condi:ion as before the commencement of work.
Any excavation requiring closing of a street or alley must be
repot:ed =o the Police, Fire, and Public Works Depa~u~euts prior
to Closing (462-1144, 462-11~3 and 462-8495).
Attach Work Order (Franchise 0nly)
LSG R~CHRRDSON
TEL U~14-235-4690
Oct 07'94 12:52 No.O04 P.O$
PAGE 2
PERMIT
A=~a¢.~ ~--~'?.icading/De~our Pla~ if & lane o= street clos~:i is
· raAchise Inspector/or C£=y Inspector
Date-+---.-/- -/
App!£oan= shall imdemn£fy amd forever hold ha~-mless agains= each
againsn £= by reaso~ o~ o= if any way arisinq oun o~ =~e closu=l,
appllcan= un,er permit f=cm =he CA=y, if such ps=mi= is gran=ed.
All contractors will contact Public Works @ 462-8495 to have
trenches and/or open cuts inspected prior to back fill operation
taking ~Lace. Staff will be sent to inspect ~he project.
LSG RICHRRDSON TEL'¢-~4.4-255-4690 Oct 07'94 12:52 No.O04 P.04
LONE STAR GAS COMPANY
[] Out~ide C/L
LOCATION ~" ,~ I/'/~ LC
TOWN PLANT -
~L D[~.
Sketch of ~ Project
EPJRR NO. ~
MAP &'-IEET NO.(s)
ILI~Ry OF PIPELINE CflAN(;iE~ IN
ABANDONED RETURNED TO
WAREHOUSE NEW INSTALLATION
~/ze Kind Fe~t ~lze Kind Feet $ize Kind Feet
I
Original ER N~. or Date of I~t~ll~io~ ~ .;l~me~t .~
retiremem' pro~ect3 only: