Fairways-PT 930927Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date:
Permit Issued To: Name:
Address:
$ / $7 / gA Project Name:
Re,resenting:
Inspector:
~ergency Phone
T~rpe of Work/Gene=al
Description:
Phone:
~rave ~ll City and/or Franchise Utilities Been Contacted and
Existing utilities Located: / YES NO
Will It Be Necessary to Excavate Street, A~ley 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 M~nual 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
reported to the Police, Fire, and Public Works
to closing (462-1144, 462-1133 and 462-8495).
or alley must be
Depa~-tments prior
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
D~te /
Franchise Inspector/or City Inspector
A~p!ican= shall indemnify and forever hold harmless against each
and eve-~.; claim, demand or cause of action that may be made or come
against i= by reason of or if any way arising out of the closure,
blocking, excavating, cutting, tunneling, or other work by the
applican: under pezrnit from the City, if such pe-~Un' i= 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.