Fountain Park 1-PT 940127Bore/Excavation in Public Right-Of-Way Permit
City of
Date:
Permit
Coppe!! - Public works Department
/ / ~ ~ / ~ Project Name(~
Issued To: Name:
Address:
Phone:
~mergenCy Phone:
Representing:
Have ~1 City and/or Franchise utilities Been Contacted ~nd
Existing utilities Located: /~ YES NO
Will It Be Necess~ to Excavate Street, ~ley or Sidewalk
payment? YES (attach pe~it) / NO
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.
Any excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Departments prior
to closing (462-1144, 462-1133 and 462-0495).
Attach Work Order (Franchise 0nly)
PAGE 2
PERMIT
A~tach Barricading/Detour Plan if a lane or s=reet closure is
applicable.
Fr a~n--~hise/Contractor Representative
Date /
Inspector
App!ican~ shall indemnify and forever hold harmless against each
and eve-~.; 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 =he 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.
* NO WET BO~S ALLOW~D~
· 1 304-2 4/82
LONE STAR GAS COMPANY
~ Inside C/L [] R/W
[] Outside C/L
LOCATION
city or town
TOWN PLANT
(if other than location)
SCHOOL DIST.
$ Proposed } Project
Sketch of ! Completed
(Dallas & Torrent Counties)
Co, No.:..~._~ negion:,~"'[,'~/X~",~
ER .R NO.
MAP SHEET NO.(s)
SUMMARY OF PIPELINE CHANGES IN
DISTRIBUTION PLANTS
RETURNED TO
ABANDONED NEW INSTALLATION
WAREHOUSE
Size Kind Feet Size Kind Feet Size Kind Feet
30
Original ER No. or Date of Installation for replacement and
retirement projects only:
Date of this report