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DFW Trade JV-PT 971229 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 rnu.~t be provided. Erosion Control is required. A letter from the Property Owner/Engineer/Developer is required before permit will be issued. Date: Permit Issued to: Address: I General Description of ~ of work ~rovide copy of ~proved p~): Location of Work (location map required): 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 Consol Devices. Area(s) affected must be restored to as good condition as before the commencement of work (grading, drainage, vegetation, erosion control). Any excavation reqniring closing of a street or alley must be reported to the Police (304-3600), Fire (304-3500), Street (304-3546) and Engineering Depa~huents (304-3679) prior to closing. Attach Work Order (franchise only). Attach barricade plan / trench safety plan if a lane or street closure is required. Franchis~r / ContraCtor Representative C~- ..~,..d D~ite 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, 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 constrnction standards approved by the City of Coppell. lborepmt.frm