Freeport NIP(4)-PT 961227Bore/Excavation in Public Right-Of-Way Per~{t
City of Coppe!l - Public Works Department
Emergency Phone:
Tsr~e cf Work/General Description: /
IIave ~1 City and/or Franchise utilities Been Contacted and
Eximtinq utilities Located: YES / NO
~/~/~/~ ~f ~ ~ /-~
will It Be Necess~ co Excavate Street, ~ley or Sidewalk
/ NO
payment? YES (attach pe~iC)
Representative(s) of the Franchise/Contractor mus~ adhere to all
construction standards apDroved by the City of Coppell, which
includes but is no= limited to: Compaction of Trenches and Bores,
and Barricading according ~o 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
reported to the Police, Fire, and Public Works
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
or alley must be
Depa~cments prior
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
FrancHise/dontractor Repr~senta ~ve
Date
Franchise Inspector/or City Inspector
Date
Oate
Applicant shall indemnify and forever hold harmless against each
and eve~I claim, demand or cause of action that may be made or come
against ;t by reason of or if any way arising out of ~he closure,
blocking, excavating, cutting, tunneling, or other work by the
applicant under permit from the City, if such per~. it is granted.
P E~MIT. 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 BORES ALLOWED!