Freeport NIP(4)-PT 961223Dore/Excav~tlon in Public Right-Of-WaY Permit
City of Coppe!l - Public Works Department
/ IfL
pea-mit Issued To: Name:
Address:
Phone:
Emergency Phone:
Representing:
Tlrpe of Work/General Description:
Have ,~% City and/or Franchise Utilitieo Been Contacted and
Zxisting utilitie~ Located: ~ YES NO
Will It Be Necess~y to Excavate Street, ~ley or Sidewalk
payment? YES (attach pe~it) P NO
Representative(s) of the Yrancni~elcontr tor must adhere to all
construction standards approved by the City of Coppell, which
includem but is not limited to: Compaction of Trenches and Bore~,
and Barricading according to the Texas ~%nual on Unifo~ Traffic
Control Devices. ~ea(a) affected must be remtored to as good
condition as before the co~encement of work.
~y excavation requiring closing of a street or alley must be
reported to ~he Police, Fire, and P~lic Work~ ~p~ents prior
to closing (462-1144, 46~-1133 and 462-8495).
Attach Work Order (Franchise 0nly)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Representative
Dane
Franchise Inspector/or City Inspector
Date
Date .......
Apolicant shall indemnify and forever hold harmless aqa!nst each
an~ eve~; claim, demand or cause of action that may be made or come
against -it by reason of or if any way arising ou~ of the closure,
blockinq, excavating, cutting, tunneling, or other work by the
applicant under perm. it from the City, Lf such pe-~m, it is granted.
PEri, IT. PHB
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 W~T BORES ALLOWED!