Grand Cove-PT 950802Bore/Excavation~-i~%-~F~blic Right-Of-W y Permit
City of Coppe!l - Public Works Department
Date:
Permit Issued To: Name:
Address:
Phone:
~mergency Phone:
Re~resenting: ~ ~ ~/%/
Insp~ctor:
Phone:
T~pe of work/General Description:
Have ~1 City and/or Franchise utilities Been Contac=ed and
Existinq utilities Located: ~ YES NO
Will It Be Nece~s~ to Excavate Street, ~ley or Sidewalk
Pav~ent? YES (attach pe~it) ~ 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 Manual on Uniform Traffic
Control Devices. krea(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 Depa~T_ments prior
to closing (462-1144, 462-1133 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
Date
Franchise Inspector/or City Inspector
A~p rovell--fCity Represenua~ive
Date
Applicant shall indemnify and forever hold ha~-nless against each
and eve~; claim, demand or cause of action zhat 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
applicann under permit from the City, if such permit 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.
* NOW-ET BORES ALLOWED!