MacPlaza1 City-PT 960917Bore/Excavation in Public
Right-Of-Way Permit
City of Coppe!l Public Works Department
Date: ~ / (7 / ~&
Permit Issued To: Name:
Address:
Phone:
~ergency Phone:
Representing:
Inspector: -- Phone:
T~Yi0e of Work/General Description:
Location of Work:
IIave A_ll City and/or Franchise Utilities Been Contacted and
Existing Utilities Located: ~ YES
Will It Be Necessary to Excavate Street, A~ley or Sidewalk
Pavement? YES (attaCh permit) ~ 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. ~rea(s) affected must be restored to as good
condition as before the commencement of work.
kny excavation requiring closing of a street
reported to the Police, Fire, and Public Works
t to closing (462-!144, 462-1133 and 462-8495).
tach Work Order (Franchise Only)
or alley must be
Depa_r~_ments prior
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor' R~ve
Date
Franchise Inspector/or City Inspector
Date
Appr~C/City Represenna~ive
Da~e -
Applicant shall indemnify and forever hold harmless against each
and eve~/ claim, demand or cause of action tha~ may be made or come
against it by reason of or if any way arising out of the closure,
blocking, excavating, cutting, tunneling, or other work by the
applican~ under permit from the City, if such permit is granted.
P E ~¼I T. PIIB
Ail 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.
* NO WET BORES ALLOWED!