Northlake WE P10B-PT 970303Bore/Excavation in Pu2~lic Right-Of-Way permit
City of Coppe!l - Public Works Department
Per, it
Issued To: Name:
Address'
o
Phone:
Emergency Phone:
l~ave ~1 City and/or Franchise uuilluie~ Been Contacted and
Exlstinq utilitie~ Located: ~/ YES
Will It Be Necess~ to Excavate Street, ~ley or Sidewalk
Payment? YES (attach pe~it) / NO
Rep~esen~at~ve(~) of the Franchise/Con~ractor must adhere to all
construction s~andards approved by the City of Coppell, which
includes but is not limited to: Compac=ion of Trenches and Bores,
and Barricading according to ~he Texas ~%nual on Unifo~ Traffic
Control Devices. ~ea(s) affected mus~ be restored to as good
condition as before the co~encement of work.
Any excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Departments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PER~{IT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Con=rac~ Representati ;e
Franchise Inspector/or City Inspector
Date
Apolicant shall indemnify and farever hold harmless against each
an~ even! 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,
blockinq, excavating, cutting, tunneling, or other work by the
applicann under pe-~m- it from the City, if such permit is granted.
pEr,MIT. PHB
Ail contractors will
trenches and/or open
taking place. Staff
* NO %FET BORES ALLOWED!
contact Public Works @ 462-8495 to have
cuts inspected prior to back fill operation
will be sent to inspect the project.