Fairways-PT 940103Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Permit Issued To: Name:
AdcLress:
E~ergency Phone
Representing: ~-~,~ '
Type of Work/General Description:
Locatiom of Work: ~omO~l~
IIave All City and/or Franch~ Util~s Been Contacted and
Existing Utilities Located: ~' YES NO
Will It Be Necessa--~y to Excavate Street, A~ley or Sidewalk
pavcmont? YES (attach permit) ~ 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 Sores,
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 DepaxT-mentS prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
NO WET BOP. ES ALLOWED
PAGE 2
PER~{IT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Repr~_gentat~ve
Dane
Franchise In_specto~/or City Inspector
Date
App!icann shall indemnify and forever hold harmless against each
and eve-~.; claim, demand or cause of ac=ion 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 =he
applicant under permit from the 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.