Country Estates-PT 921207Bore/Excavation i~'.i Public R~ght-Of-Way Permit
... ~..- City of CoDuell - Public Works Department .. . .'- ~.: :'.t:..' . ·
' ' · ' .... 4 ~ .... ", .~'~ ~-% '~' '
.~t~:;*.~:,".- Pe~i~ Issued ToI~N~e= ~"~ -' ' ~
Address:
Phone
Emergency Phone:
Type of Work/General Descrip=ion:
Phone
o=atio. of Work,
~ave All City and/or Franchise utilities Been Contacted and
Existing Utilities Located: 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
construction standards approved by the City of Coppell, which
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 or alley must be
reported to the Police, Fire, and Public Works Departments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PERMIT
'~ ' Attach Barricading/Detour Plan if
applicable.
-i'?.
' ~-" ~ F~anc~ife/Cont~actgr, Representative
Franchise Inspector/or City Inspector
' : ,.'. ~
p resentative :.. .
lane or
Applicant shall indemnify and ~orever hold harmless aga'in6t 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
blocking, excavating, cutting, tunneling, or other work by the..'
applicant under permit from the City, if such permit is granted.
PERMIT. PHB