Old Coppell Est-PT 960319Bore/Excavation in Public Right-Of-Way Perm/t
City of Coppe!! - Public Works Department
Date:
Permit Issued To: Name:
Address:
Phone
EmergenCy Phone
~"~e of Work/General ~escriptiom:
Location of Work:
Phone
IYave ~!1 City and/or Franchise Utilities Been Contacted and
Existing Utilities Located: YES ~ NO
will It Be Necessa-~y to Excavate Street, /%lley 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 Manual on Uniform Traffic
Control Devices. A~ea(s) affected must be restored to as good
condition as before the commencement 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 (.%62-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE
P£R~IT
A~=ach Barricading/De=our Plan if a lane Or s=ree~ closure is
agpl£oable.
F=anchise/Con=racnor Re9resentative
Franchise Inspector/or CiZy Inspecnor
Date
A.=.urcve-c/di:y Represenna=ive
Da:e -- ' -
Aup!icann shall indemnify and forever hold harm. less agains~ each
and eve~; claim, demand or cause of ac=ion than may be made or come
agains~ ic by reason of or if any way arising out of ~he closure,
blocking, excavating, cutting, tunneling, or other work b? ~he
applican= under permit from the Cloy, if such permi~ is granted.
PERMIT. 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.