Huntington-PT 930914Bore/Excavation in Public Right--Of-Way Permit
City of Coppell - Public Works
Date: ~ / /d / ~
Permit Issued To: Name:
Address:
Phone:
Emergency Phone:
Department
Project Name:/~~~~'
Inspector: ~ Phone:
T~pe of work/General Description:
Location of Work:''-- . .
IIave ~11 City and/or F~anc~ise . nd
Existing Utilities LoCated: ~~ YES NO
will Ie De Necess~ ~o Excavate S~eet, ey or Sidewalk
Payment? 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. Area(s) affected must be restored to as good
condition as before the commencement of work.
Any excavation requiring closing of a street
repot=ed to the Police, Fire, and Public Works
to closing (462-1144, 462-1133 and 462-8495}.
or alley must be
Depax~men=s prior
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
Date
Applicant shall indemnify and forever hold harmless agains~ each
and every claim, demand or cause of action that may be made or come
against it by reason of or if any way arisinq out of the closure,
blockinq, excavating, cut=lng, tunneling, or other work by =he
applicant under permit from the City, if such permit is granted.
PER~IT.
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.
./
g Inside C/L [] R/W
~r~[~ outside C/L
TOWN PLANT '"'--
LONE STAR GAS COMPANY
Proposed I Project
Sketch of { Completed
Co. No.:, IZ.~ Region:/~'O'~-~
SCHOOL DIST.
~ .... ~. MAP SHEET NO~{s)
fDa/las & Tarrant CoUnties}
/ / --.
SUMMARY OF PIPELINE CHANGES IN
DISTRIBUTION PLANTS
RETURNED TO
ABANDONED NEW INSTALLATION
WAREHOUSE
Size Kind Feet Size Kind Feet Size Kind Feet
--1
1
0+o~'.:
Original ER No. or Date of Installation for replacement and
retirement projects only:
Date of this report ~ ' / _-*_*~ -.~'