St Andrews Est-CS051017Page 4 of 4
T H [ - C ! T Y 0 F
COPPELL
UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Contael City of Coppell Public Works Division at 972-462-5155 to schedule an inspection
with Utility & Streets personnel to verify that your project has been completed to CiD' of
Coppell specifications. Failure to schedule verification inspection ma.}' delay'future projects.
Fra?hise Utility Name ~ v,,,-~q- (~g
Project Location / Applicant's Work Order # (itapplR~able) {J~iL. ~OQ. I(ot ~--
Sub-contractor Company Name
24 hr. Contact Number ~t)~
Date of Verification Appointment
Time of Verification Appointment ~.'ao/~,,
INFOI~MATION BELOW TO BF_. COMPLETED BY CITY OF COPPELL PERSON~L
and found to be aQc~ffeplabl~ not acceptable because
J~oIlow-ttp needed?~ YES Follow-up scheduled for
": Inspecled by of Streets Mahttenance Division on
and fJu[td to be acceptable / not acceptable because
Follow-up needed? NO / YES Follow-up scheduled for
A copy of this completed notice is to be provided to:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570
g-d elS:0I ~O LI
C-OPP-E L
UI'I.LITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Page 4 of 4
Contact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection
with Utility & Streets personnel to verify that your project has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name
Project Location / Applicant's WorkOrder # Of applicable)
Sub-contractor Company Name ~-~-O.V¢'Lc~ C.t0~--~-o...,-~,
24 hr. Contact Number~ C,~ t ~ ~1 q ~ ~t' q ~ ~
Date of Ver~cation Appo~tm~t
T~e of Ver~cation Appo~tm~t
~ATION BELOW ~ BE m~D BY C~Y OF COP~ PEYOTL
· Inspected by ~5/~ l~~ce Dms~n on
~dfound~ be accept~le~ ~ __/~otaccept~le because ) ~Cg ~ ~/~A~ ~ --
Follow-up needed? NO ~low.u~ledfOr
· :' Inspected by ofS~eets M~nten~ce ~vision on
~d fodnd to be ~cept~le / not accept~le because
Fo~ow-up needed? NO / YES Follow-up scheduled for
A copy of this completed notice is to be provided to:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570
els:oI SO LI ~o0
COPPELL
Department of Public Works
I FiE~DWORKOROERJ
WOWA-05-4865
Initial Date: October 14, 2005
Final Date:
Created By':
Water
Name
Address
Cross Street
Location
Walk Throu~]h
Bud (H) 214-534-4689 [~ Left Door Knocker
Housley (W) ~--Spoke to Resident
Deforest Rd [~ Called Resident
Notify Water Billing
Unknown
Description
SI. Andrew Est., on Deforest just east of MacArthur: Monday, 10/17/05 @ 9:00 am for
completion verification
Office Comments
Assigned To
Danny Hightower
Old Meter #
Reading
New Meter #
Reading
Personnel Assigned Hours
Field Comments:
Quantity Parts - Equipment Used
P.O. Box 9478 - 816 S. Coppell Rd - Coppell, TX 75015 . Phone (972) 462-5150 - Fax (972) 462-5155
[.~1 e[q:o[ c;o L,! q. oO