Eagle Point-PT 930921Bore/Excavation in Public ~ighc-Of-Vay Pe=m/t
City of Coppe!l - Public Works Oepar=menC
Permit Issued To: Name:
Address:
Phone=
Emergency Phone:
TyI:e of Work/General Description:
Phone:
Ali Ci=y and/or Franchise UCil£Cies Been Contac=ed and
gxiutinq u~ilicios Locacod: YES ¢ NO
Will It Be Necossaz-t to Excavate S~ree~, Alley or Sidewalk
Pavement? YES (aunach permit) /~ NO
Represen:a:ive(s) of the Franchise/Contractor must adhere =o all
cons=rut=ion scandard~ approved by =he City of Coppell, which
includes but is not limited to: Compaction of Trenches and Bores,
and Barrica=ing acccr=ing to the Texas Manual on Un~fozm 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 mus= be
repot=ed to the Police, Fire, and Public Works DepaxT, men=s prior
to clcsinq (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Barricading/De=our Plan if a lane or s=ree= closure is
applicable.
Franchise/Con=fac=or Re~resen=a=ive
Dare
Franchise Inspec=or/or C£=y Inspec=or
Dare
Applican= shall indemnify and forever hold ha=nless agains= each
and eve~f claim, demand or cause of ac=ion =hat may be made or come
agains= i= ~y reason of or if any way arising our of nhe closure,
blocking, exc~va=imq, cu==inq, nunneling, or o=her work
a~pl£cann under permi= from =he Ci=y, if such pe=m£= is granned.
All contractors will contac~ Public Works @ 462-8495 to have
trenchea and/or open cuts inspected prior to bac~ fill ol~ration
taking place. Staff will be sent to