Lakewood Estates-PT 930505Bore/Excavation in Public Right-Of-Way Permit
City of Coppell - Public Works Department
Permit Issued To: Name~
Address:
Phone:
~ergen~ Phone:
ZIave Ail City and/or Franchise Utilities Been Contacted and
Ex~sting Utilities Located: ~ YES NO
Will It B~ Necessa~-~ to Excavate Street, Alley or Sidewalk
Pavement?
YES (attach ~ermit)
NO
Representative(s) of the Franchise/Contractor must adhere to all
construction standards approved b~ the City of Coppell, which
includes but is not limited to= Compaction of Trenches and Bores,
and Barricading according to the Texas Manual on ~niform Traffic
Control Devices. Area(s) affected must be restored =o as good
condition as before the commencement of work.
Any excavation requiring closing of a street
reported to the Police, Fire, and Public Works
to closing (462-1144, 462-1133 and 462-8495).
or alley must be
Departments prior
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
Ap~o~d/-~i{y B~presenta~i e
Date
Date /
Applicant shall indemnify and forever hold harmless against each
and every claim, demand or cause of ac=ion =ha= may be made or come
against it by reason of or if any way arising out of =he closure,
blocking, excavating, cutting, tunneling, or other work by ~he
applicant under permit from =he City, if such permit is granted.
PERMIT. PIIB
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.