DFW Trade JV-PT 980814 BORE / STREET CUT/SAW CUT
PERMIT
IN RIGHT-OF-WAY / EASEMENT / PRIVATE PROPERTY
Engineering Department
PERMIT FEE: $100.00
(No Charge to Franchise Utility)
Approved plans must be provided. Erosion Control is required.
A letter from the Property Owner/Engineer/Developer is required before permit will be issued.
Project Name:
Permit Issued to:
Address:,gO~ ~..
Telephone: (~1o) ~&- ~ 7~ Fmeroen~v Tel~nhnn~-
I~pector: Tel~hnn~'
General Description of type of work (provide copy of approved plans):
Location of Work (location map required):
Contact made with City and/or franchise utility to locate existing utilities?
(48 hours prior to excavation) YES ~NO
Is any excavation of pavement in street, alley or sidewalk necessary?
(If YES, attach Permit) YES '~ NO __
Revised 5/95
Bore/Street Cut/Saw Cut Permit
Page 2
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
(grading, drainage, vegetation, erosion control).
Any excavation requiring closing of a street or alley must be reported to the Police (304-3600),
Fire (304-3500), Street (304-3546) and Engineering Departments (304-3679) prior to closing.
Attach Work Order (franchise only).
Attach barricade plan / trench safety plan if a lane or street closure is required.
Franchise / Contract/or Representative Date
Franc' ,~r~'l~tor or ...City Inspector
^ppro, ive
Date
Applicant shall indemnify and forever hold harmless against each and eve~j 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, blocking, excavating, cutting, tunneling, or other work by the applicant under
permit from the City, if such permit is granted.
All franchise utilities must contact 304-3545 or 304-3546 for trench, ditch and open pit
inspections prior to backfill. Backfilling must meet all construction standards approved by the
City of Coppell.
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BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
08-1~-g8P02:2~ RCVD
Job Address:
Lot: Block:
Subdivision:
Phase or Section Number:
Owner
Contractor: q, L- tO~.r, aer'~,~n~ -~- ~.
Description of Work to be Done
Class of Work:
Address: Phone #:
Address: ~T ~._ ~u.~:,tl0 ~d ~'t~'
~New ~ Addition ~ Alteration ~ Repair ~ Demolition
Area of Building in Square Feet
First Floor Garage
Second Floor Other
NOTICE
This permit becomes null and void if work or construction authorized is not commenced
within 180 days. or construction on work is suspended or abandoned for a period of 180 days
at any time after work is commenced.
I hereby certify that I have read and examined this application and know the same to be tree
and correct. All provisions of laws and ordinances govemthg this type of work will be
complied with whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any other federal, state or local law
regulating construction of the performance p.f constraction.
SignatUre of Contractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor
Mechanical Contractor
Value of Work x: ~
to be Performecl~'--'5">t
Oo
O
GRAY AREA FOR OFFICE USE ONLY
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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W, ELEC~IIC
DESIGNER
GAS
USERIO FJ~Z
PHONE (61~36~-7~17
CSR PERFECTED WAYNE
PHONE (817):3~-78tl
CONSTRUCTION PRINT
WR NO.
~ · SHEET ! OF
DATE
SCALE I~1
SERVICE CENTER FNE
OFFICE 162
MAPSCO I-P
WR NAME
1~94~6
GTE SUPIfl. Y - DEW TRAE]~ CENTER GAS
PATRIOT DRIVE - BUILDING 'E'
CUSTOMER
AODRESS
LOCATiON_I,lu,,,,y 1'3,1 M e'~ ?k~,,~ P.d'
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