Old Coppell Est-PT 951219Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Project Name:
Permit
Issued To: Name:
Address:
Phone:
Emergency Phone:
Have ~1 City and/or Franchise utilities Been Contacted and
Existinq Utilities Located: ~ YES NO
will It Be Necess~ to Excavate Street, ~ley or Side/alk
Payment? YES (attach pe~it) / 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: Compac%ion o~ Trenches and Bores,
and Barricading according to the Texas Mnnual on Uniform Traffic
Control Devices. A_rea(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 Depa~fcments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Repre~n=ati e
Dare
Franchise Inspector/or City Inspector
Date
A~resen=ative
Date ........
Apo!icann shall indemnify and forever hold harmless aqainsn each
an~ eve~! claim, demand or cause of action that may be made or come
against ~t by reason of or if any way arising out of the closure,
blockinq, excavatl g, cutting, tunneling, or other work by the
applican~ under pe-~m. it from the City, if such permit is granted.
PEr.MIT. PIIB
All 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 BO~S ALLOWED!
EXHIBIT "A'
· I,
. I r I~ll
THIS EXI41BIT SKETCl4 IS FOR
REVIEW ONLY. THE ACTUAL
LINE LOCATION MAY VARY UPON
COMPLETION OF THE PROJECT.
LONE STAR GAS COMPANY 6
ENGINEERING DEPT. DALLAS.TEXAS
OLD COPPELL ESTATES
DRAWN KBP
I DATE 10/27/95 I
CHK'D. SC^LE NONE, 14
ER- 95-
MAP SHEET NO.