Huntington-PT 930303Bor~/Excava~Lon in Pnbl£c ~.tgh=-Of-WeF Perm,=
Cl=y of Coppell - Public Works Depar~men=
Pez~£= Issued To= Name:
Ad~ress=
Phone=
Emergency Phone=
Pro Jec~ Name:
~epresen=ing=
Type of Work/General Descrip=ion= --
Loca=ion of Work= .y . ..
~lave /~11 C£=y and/or Franchise U=ill=ies Been Con=ac=ed and
Exis=inq U=il£=ies Loca=od= YES NO
WAll I= ~e Necess~--~'~ ~o Excava=e S~r~e=, A3_Le~or Sidewalk
Pav~mQn=? YES (a=Uach permi=) ~ NO
Represen=a=lve(s) of =he Franchise/Con=fac=or mus= adhere =o all
cons=ruc=icn s=andar~s approved by. =he C£=y of Coppell, which
includes bur is no= limi=ed =o: Compac=ion of Trenches and Bores,
and Barricading according =o =he Texas Manual on Un~fozm Traffic
Con=rol Devices. Area(s) affec=ed mus= be res=ored =o as good
condl=lon as before =he commencemen= of work.
Any excava=lon requiring closing o~ a seres= or alley mus= be
repot=ed =o ~he Police, F~re, and Public Works Depaz~en~ prior
=o closing (462-1144, 462-L133 and 462-8495).
Ar=ach Work Order CFranchise 0nly)
PA~E 2
pERH'rT
A=~ach Barricad/ng/DeCour Plan if a lane or s~ree= closure is
applicable.
FrgnchiSe/~Wn~rac=or Rep~e~en=ac£ve Da=e'
D~e
Applicant shall indemnify and forever hold harmless agains= each
and ever,~claim, demand or cause of ac=ion =ha~ may be made or come
agains= i= by reason of or if any way arisinq ou= of =he closure,
blockinq, excava=ing, cu==£ng, =unneling, or o=her work by =he
applioan= under pezTflt= from =he Cl~, if such permi= is gran=ed.
All contractors w111 contact Public Works e 46~849~=-have