Creekview II L2-PT 940404Bore/Excavation in Public Right-Of-Way Permit
City of Coppell - Public Works Department
Permit Issued To: Name:
Address:
Phone:
Emergency Phone:
Representing:
Type of Work/General Description:
Have Ail City and/or Franchise utilities Been Contacted and
Existing utilities Located: X YES NO
will It Be Necessary to Excavate Street, Alley or Sidewalk
pavement? YES (attach permit) NO
Representative(s) of the Franchise/Contractor must adhere to all
o~struction s~andards approved by the City of Coppell, which
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includes but is not limited to: Compaction of Trenches and Bores,
and Barricading according to the Texas Manual on Uniform Traffic
Control Devices. Area(s) affected must be restored to as good
condition as before the commencement of work.
Any excavation requiring closing of a street
reported to the Police, Fire, and Public Works
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
or alley must be
Depa_~tments prior
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Representative
Date
Fr/anchise iispec~o~r C£ty Inspector Date
App!ican: shall indemnify and forever hold harmless against each
and eve~/ claim, demand or cause of ac:ion =ha= may be made or come
against it by reason of or if any way arising out of the closure,
blockinq, excavating, cut=lng, tunneling, or other work by the
applican: under permit from ~he City, if such permi~ is granted.
PE~¼IT · PI[B
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.
* NOW ETBORESALLOW~u!