Forest Cove 1-PT 98041404/14/95 TUE 0~:55 FAX $~7 5773450 MID-A~ERICA OF TX ~002
Bore/=xoavat£on in Public R£gh~-Of-Way Fermi=
City of CoDpe!l - Public Works Depar=men=
Dare:
~ Project Name:
Issued To: Nam.: ~ff~-~'~/-~ Adc~res s; ~
Inspe.ctor: ~ Phone: ~-~ ~E~--&]/~O
%~r~e of work/General Desc=ip=ion: ~
~a=e ~1 City and/or
Existinq Utilities Looatcd:/~?~__~YES NO
Will I~ Be Necesso--~-~ to Excavat~ Street, ~ley or Sidewalk
Pav~cn=? YZS (attach pe~it) f NO
Neuresentative{$) of :he Franchise/C0n:rac:or mus: adhere ~o all
construction s~andards approved by the City of Coppell, which
includes bu: i~ no= limited to: Compaction of Trenches and Bores,
and Barricading accordinq to the Texas Manual on Uniform Traffic
Control Devices. Area(s) affected must ~e restored to as good
condition as before t~e commencement of work.
Any excavation requiring closing of a street or alley must be
reported to the Police, Fire, and ~ublic Work~ Departments
to closing (462=1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
04/14/98 TUE 06:55 FAX 817 5773480 MID-AMERICA OF TX ~003
~AGE 2
PERMIT
applicable.
ADD!icon= sha~l indemnify and forever hold harmless agains= each
a~ eve~! claim, demand or cause of ac=ion ~ha= may ~e made o= come
again$= i= by reason of cr if any way arising our of =he c~osure,
blocking, ex=ava=lng, turfing, uunnellng, or other work by :he
pE~'4IT.
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 ~L!~)W=D!