Northlake 635(3)-PT 980723Bore/Excavation in PuJDlic Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date: 7 / ~ ~/! ~ Project Name: ~,l:
Permit Issued To: Name:
Address:
Phone:
~nergency Phone:
Inspector: ~l~l< ' I
~/C ~,~ Phone:
~"~ype of Work/General Description:
Location of Work:
lIave All City and/or Franchise Utilities Been Contacted and
Existin~ U~ilities Located: YES NO
Will It Be Necessa_~y to Excavate Street, Alley or Si~ew~
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.
;uny excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Depa--~tments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach work Order (Franchise Only)
PAGE 2
PERMIT
Attach Rarricading/~etour Plan if a lane or street closure is
applicable.
Date
.~anch_se Inspector/or City Inspector
Appr_~vec/City Represent t~
Date
7-z74
Date
Applicant shall indemnify and forever hold harrnless against each
and eve~; claim, demand or cause of action that may be made or come
against it by reason of or if any way arising out of the closure,
blcckinq, excavating, cutting, :unneling, or other work by the
applican: under permit from the City, i~ such per~. it is granted.
P E R~IT. PHB
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!