Magnolia Park-PT 980722Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date: -7 / 2 Z / eS Project Na~e:
~mergency Phone:
Representing:
T~ype of Work/General Description:
Location of Work:
IIave ,~11 City and/or Franchise Utilities Been Contacted and
E.~isting utilities Located: YES ~ NO
will It Be Necessary to Excavate Street, Alley 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 Mnnual on Uniform Traffic
Control Devices. z~rea(s) affected must be restored to 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).
Attach Work Order (Franchise Only)
or alley must be
Depa--~tments prior
PAGE 2
P EP~I T
Attach Rarricading/~etour Plan if a lane or street closure is
applicable.
Franchise/Contractor Represen'~ative
Date
Franchise Inspector/or City Inspector
Date
Date'
Applicant shall indemnify and forever hold harmless against each
and eve~z claim, demand or cause of action that may be made or come
agains~ it by reason of or if any way arising out of the closure,
blocking, excavating, cutting, tunneling, or other work by the
applicant under perm. it from the City, if such permit is granted.
P ER~MIT. 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!