Lakewood Estates-PT 930225Bore~Fxc,.vaC£on ~ Publ£c ltighC-O£-Way Pezm/.l:
Ci=y of Coppell - Public Works Depar=men=
Permi= issued To: Name:
Address:
Phone
Emergency Phonec
llave A.Ii C£cy and/or Franchise UCili=ies Been Con~acced and
Ex~.sCinq UCili~ius Located: YES ~ NO
Will IC ~ Necossary Co Excavace S~reec, Alley or Sidewalk
Pav~mcn=? YES (aCCach permic) NO
Represencacive(s) of =he Franchise/ConCracCor muse adhere Co all
cons=ruc=ion s=andards approved by che C1cy of Coppell, which
· includes buc is hOC limiced co= Compac=lon of Trenches and Bores,
and Barricading according Co =he Texas Manua~ on Un~fozm Traff£c
Con=rol Devices. Area(s) affecced musC be resCored Co as good
condiClon as before Che commencemenC of work.
Any excavaCion requiring closing of a street or alley muse be
co closing (462-1144, 462-L133 and
AC=ach Work Order (Franchise 0nly)
PAGE 2
PERMIT
At=ach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Represen:ative
Date
Date
Applican= 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 the closure,
blocking, excavating, cu==ing, tunneling, or other work by the
appllcan= under permit from uhe Ci=7, if such permit is g~an=ed.
PEIhHIT. PHB
All ~ontra=tors will ~ontact Public W~rks e 462-8495 to have