Fairways-PT 931209Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Phone:
Emergency Phone:
Representing:
Inspector:
Type of Work/General Description:
!
Phone:
IIave ~lll City and/or Franchise Utilities Been Contacted and
Existing Utilities Located: ~ YES NO
Will It Be Necessary to Excavate Street, Alley or Sidewalk .
Pavement? 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 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 462-8495).
Attach Work Order (Franchise OnLy)
PAGE 2
PER,lIT
Attach Barricading/Detour
applicable.
Plan if a
Franchise/Con~ractor Representative
lane
or stree~ closure is
/2-8 - ~
Date
Franchise
Inspector/or City Inspector
Date
Applicant shall indemnify and forever hold harmless against each
and eve~z claim, demand or cause of action that may be made or come
against it by reason of or if any way arisinq ou~ of the closure,
blockinq, excavating, cuttinq, ~unnelinq, or other work by the
applicant under permit from the City, if such permit is qranted.
PERMIT. PI[B
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 ALLOW~4~!