Old Coppell Est-PT 951101Bore/Excavation in Public Right-Of-Way Permit~~~.~
City of Coppe!l - Public works Department
Permit Issued To: Name:
AdcLress:
Phone:
~mer~ency Phone:
Inspector: Phone:
~"~rpe of Work/General Description: ~/~otX~;~
Ifave ~1 City and/er Franchise Utilities Been Contacted and
Existing Utilities Located: YES / NO
Will It Be Necess~ to Excavate S~reet, ~ley or Sidewalk
Payment? YES (attach pe~it) / NO
Representative(s) of the Franchise/Contractor must adhere to all
construction s~andards 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. Area(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 0nly)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Repr~aT~ve
Date
Franchise Inspector/or City Inspector
~~sen~a~&ve
Date
Date - '
Applicant shall indemnify and forever hold harmless against each
and eve~/ 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,
blocking, excavating, cutting, tunneling, or other work by the
applicant under per~. it from the City, if such permit is granted.
PER,HIT. PIIB
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.
* NO WET BORES ALLOWED!