Freeport NIP(3)-PT 950929Bore/Excavation in Public
Right-Of-Way Permit
City of Coppe!l - Public works Department
Date:
Permit Issued To: Name:
Address:
Phone:
~mergency Phone:
Project Name:
Repre~entinq:
Type of Work/Ceneral Description:
Ilave ~1 City and/or Franchise utilities Been Contacted and
Existinq Utilities Located: / YES }~O
Will It Be Necess~ to Excavate Street, ~ley or S~ewalk
Payment? YES (a~tach pe~it) NO
Represen.ative(s) of the Franchise/Contractor must adhere to all
construction s~andards approved by the City of Coppell, which
include~ 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.
A~y 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
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor RepreSentative
Date
Franchise inspector/or City Inspector
App-O~~~a~ive
Date
ba~'e ..........
Applicant shall indemnify and forever hold harmless against each
and eve~! claim, demand o~ 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
applicann under pe-~m- it from the City, if such permit is granted.
PEr.MIT.
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.
* NOW ET BORES ALLOWED!
L/T
FLANGE RISI
METER INSTA~
INSTALL 3951 OF 2" IP POLY II PIPE