Northlake WE P10B-PT 941222in. Public ~igh=-Of-Way Per, Lit
City of Coppe!i - Public Works Department
Issued To: Name:
Add=ess:
Phone-.
~nergenC~ Phone:
Project Name:
Represen'- :--hq:
."~3~e of work/General Desc---ipnion:
Phone:
Loca~icn cf work:
IIave ~!i City and/or Franchise Utilities Been Contacted and
Exis~inq Utilities Located: YES .~ NO
will It ge Necessa~-y. to Excavate Street, Alley or Sidewalk
Pave~nent? YES (attach ge=mit) ~ NO
Representative(s) of the Franchise/Contractor must adhere to all
cons=ruction s~andards approved by the City of Coppell, which
includes but is moo limited to: Compaction of Trenches and Bores,
and Barricading according to the Texas Manual on Uniform Traffic
Control Devices. Area(s) affected must be restored to as good
condition as before the commencement of work.
Any excavation requiring closing of a street
reported ta 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=~_ments prior
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pE~/(iT
A~tach Barricading/Detour plan ii a lane or s=ree~ closure is
ap~licab!e.
~y ins~ecnor
A=u!ican= shall indemnify and forever hcld harm. less againsn each
demand cr cause cf action khan m&'! be made or come
a~ eve~/ claim, ,
againsn it by reason of, or if any ~ay arising out of ~he closure
uunne!ing, or c~her wcrk by the
blccking, excavating,-c=t=ing, if
a~p!ican= under perm. it frcm ~he Ciny, suck permit is granted.
pEN.MIT · 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.