SBC-CR051111UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
Page 4 of 4
COMPLETION VERIFICATION NOTICE
Contact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection
with Utility & Streets personnel to verify that your project has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name ~c~ ~cxn-~ L~_~-7
Project Location / Applicant's Work Order # (irappl~cable)~__
Sub-contractor Company Name ~.,~-
24 hr. Contact Number /~3 -&~/5/-~6
Date of Verification Appointment
Time of Verification Appointment
INFOR~MATION BELOW TO BE CO,V[PLE'I~D BY CITY OF COPPELL PERSONNEL
· '.. Inspected by ~ ~/~ ~e~_ of Utilities Maintenance LA'vision on
and found to be acceptable / not acceptable because
Follow-up needed? NO / YES Follow-up scheduled for
· '.o Inspected by of Streets Maintenance LA'vision oft
and found to be acceptable / not acceptable because
Follow-up needed? NO / YES Follow-up scheduled for
A copy of this completed notice is to be provided to:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppeli TX 75019
Office: 972-304-3679 Fax: 972-304-3570