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Coppell Pro-PT 970107Bore/Excavation in PuJDlic Right-Of-Way permit City of Coppe!l - Public Works Department Project Name: Permit Issued To: N~me: Address' Phone: Emergency Phone: Phone: Type of Work/General Description: --~// J~ / Have A-Il City and/or Franchise utilities Been Exi~tin~ utilities Located: ~/ YES Will I~ Be Necessa--~y to Excavate Street, Alley or Pavement? YES (attach permit) Contacted and Sidewalk 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 Barricadin~ accordinq to the Texas ~lnual on Uniform Traffic Control Devices. A~ea(s) affected must be restored to as good condition as before the commencement of work. kny excavation requiring closing of a street or alley must be reported to the police, Fire, and Public Works D~pa~_ments prior to closing (462-1144, 462-1133 and 462-8495). kttach Work Order (Franchise Only] PAGE PER~{IT Attach Barricading/Detour Plan if a lane or street closure is applicable. Franc~&s e/Contract~epres entative Date Franchise Inspector/or City Inspector Appro~e~s'e'~na/tive Date ...... Apo!icant shall indemnif'/ and forever hold harmless aqainsn each an~ eve~/ 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, blockinq, excavating, cutting, ~unn~l!ng, or other work by the applicant under permit from the City, if such perm. i% is gra~ted. PEP,MIT. 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 %;ET BORES ALLOWED!