Jefferson-PT 950906Bore/Excavation in Publig Righ=-Of-Way Perm/=
City of Coppe!! - Public Works Depa~men~
Issued To: Name:
Address:
Phone:
~::ergenc-~r Fhone: t ~
~e cf Work/General Description:
Irave ~!! City and/or Franchise u~ili=ies Been Con,accede/ and
~xistinq ~ti!iUies Locancd: YES A NO
..Will I= Be Necessary to Excavate S=reet, Alley or Sidewalk
"pavcraent? Y~S (ac~ach ~erm. i~) NO
Representative(s) of the Franchise~Contractor must adhere to all
construction s~andards approved by ~he City of Coppell, which
includes but is not limited to: Compaction of Trenches and Bores,
and Barricading according to the Texas Manu.al on Uniform Traffic
Con~rol Devices. A. rea(s) affected must be restored to as good
condition as before the commencemen~ of work. "~
Any excava=ion requiring closing of a s~reet or alley must be
reported to the Police, Fire, and Public Worka DeparTments prior
to closing (462-1144, 462-1133 and 462-8495).
A~tach Work Order (Franchise Only)
P£R~!T
A=~ach Barricading/Detour Plan if a lane or snree~ closure is
ap~!icab!e.
Fr anch£~e/Co n:_~ac~o r ~rmsennative
InspecT. or/or C£L.v inspector
Oa~e
Date
Applicant shall indemnify and forever hold harm. less against each
and eve~; claim, demand cr cause of act!ct =ha= may ~e made or come
against i= by reason of cr if any way arisinq out of ~he closure,
block!hq, excavatinq, cutting, tunneling, or c~her wcrk by the
a~plicant under permit from ~he City, if such perm. it is granted.
P ~. r~U. IT. PHB
Ail contractors will contact Public Works @ 462-8495 to have
trenches and/or open cuts inspected prior to back fill operation
taking p~ace. Staff will be sent to inspect the project.