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Eagle Point-PT 931130Bore/Excavation in Public Right-Of-Way Permit City of Coppe!l - Public Works Department Phone: E~ergency Phone: Date: // /~o /~ Project Name: Permit Issued To: Name: ~a~.~"% C~ Representing: Inspector: Type of Work/General Description: Phone llave ~i City and/or Franchise Utilitie~ Been Contacted and Existinq Utilities Located: / YES NO Will It Be Necessary to Excavate Street, ;tlley or Sidewalk NO Pavement? YES (attach permit) Representative(s) of the Franchise/Contractor must adhere to all construction s~andards approved by. the City of Coppell, which includes but is not limited to: Compaction of Trenches and Bores, and Barricading according to the Texas )~anual 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 Depart-meets prior to closing (462-1144, 462-1133 and 462-8495). Attach Work Order (Franchise Only) PAGE 2 PER~IT Attach Barricading/Detour Plan if a lane or street closure is applicable. Franchise~Co, actor Representative Dat~ Franchise Inspector/or City Inspector Date Date Applicant shall indemnify and forever hold harmless against 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 closure, blockinq, excavating, cutting, tunneling, or other work by the applicant under permit from the City, if such permit is granted. PERMIT. 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.