Northlake WE P10B-PT 941103Bor~/Excava=ion in Public R/gh=-Of-Way Pe~=
Ciuy of Coppell - Public works 0epar=menn
Permi= Issued To: Name:
AdcL~ees:
Phone:
~mergen~f Phone:
~e of Work/General Description:
~ca=ion of work: ~~'
~Iave ~I City and/or Franchise Utili=ies Seen Con=ac=ed and
Represenna=ive(s) of ~he Franchlse/Ccn=rac~or mus= adhere ~o all
includes bur is no= iLmi=ed =or Ccmpacnion o~ Trenches and Bores,
and Barricading accor=ing =o =he Texas HaAus! on u~ifeL~m Traffic
Con=tel Devices. Area(s) affec=ed mus= be res=ored =o as good
condition as before the commencemenn of work.
An? excava=ion requiring closing of a scree= or alley mus= be
re~cr=eu :: n~e Police, F/.r~, anU P~blio Work~ De~n=s prior
ue c!osinq (462-~144, 462-~133 an~ 462-8495).
Ac=ach Work Order (Franchise Only)
Ar=ach Bar=icad£ng/Ce=our Plan if a lane or street closure is
applicable.
Franchise/C0nnrac=cr Representative
Applicann shall indemnify ant forever hold harmless agains: each
an= eve~f c!a~, demand ur cause of ac=ion =ha= may be made or come
aga£nst £= by reason of or if any way ar£s£nq ou= of the closure,
b!cck£nq, excavating, cunt!hq, ~unneling, or other work by the
a~pl£cann un=er per~..~= fr=m nhe C!=-F, if such peri= is granted.
All contractors will contact Public Works @ 462-8495 to have
trenches and/or open cuts inspected prior to bag fill o~ration
taking place. Staff will be sent to inspect ~he proje=t.