Enclaves-PT 950630Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public works Department
Date:
Permit Issued To: Name:
Address.:
Phone:
Emergency Phone:
~e of Work/General Description: 3~// ~ ~//'~ /~/[/~
~ave ~1 City and/or Frnnchise utilities Been Contacted and
Existinq utilities Located: / YES NO
Will It Be Necess~ to Excavate Street, ~ley or Sidewalk ~
Payment? YES (attach pe~it) / NO
to all
Re .en.atlve(s) the Franchise/Contractor must adhere
construction standards approved by the City of Coppell, which
includes but is not limited to: Compaction of Trenches and Bores,
and Barricading according to =he Texas ~nual on Unifo~ Traffic
Control Devices. ~ea(s) affected must be restored =o as good
condition as before the co~encement of work.
~y excavation requiring closing of a street or alley must be
reported ~o the police, Fire, and P~lic Work~ ~p~ents prior
to closing (462-1144, 462-1133 and 462-B495).
Attach Work Order (Franchise Only)
PAGE 2
pERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Re~sentaUive
Dare
Franchise inspecuor/or City
Ap ~:~v~/~2 ~'I, Re~esennauive
Inspector
Dare
Dace
Applicant shall indemnify and forever hold harmless agains~ each
and eve~; claim, demand o~ cause of action that may be made or come
against it by reason of or if any way arising out of the closure,
blocking, excavating, cutting, tunneling, or other work by
applicant under pe-~mit from the City, if such permit is granted.
pEri, IT. PI[B
All 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 WET BORES ALLOWED!