Park West CC(4)-PT 940527Bore/Excava~:ion in Pnblic Right-Of-Way Perm/t
City of Coppe!l - Public Works Depar=menn
Date:
Permi~ Issned To: Name:
Address:
Phone:
~mergenCy Phone:
RepresentLng:
Inspector:
?/pe of work/General Description: I ~(~J~/A~% + D/&~/a~
Have ,~1 City and/or Franchise u~ili~ies Been Con~ac~ed and
Existing utilities Located: ~ YES NO
will It Be Necess~ to Excavate Street, ~ley or sidewalk
pav~cn~7 YES (attach peri=) 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. A~ea(s) affected must be restored to as good
condition as before the commencement of work.
A~y excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works DepaxT_ments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Barricading/Detour Plan if a lane or s~reet closure is
applicable.
Franchise/Con=fac:or Representative
Franchise Inspector/or City Inspec=or
A.=.urcl'/ Repres~=a~ive
Auo!icant shall indemnify and forever hold harrm.!ess against each
a~ eve~I claim, demand or cause of action =hat may be made or come
against it by reason of or if any way arising out of ~he closure,
blocking, excavating, cutting, nunne!ing, or other work by the
applicant under perm. i~ from the City, if such perm. it is granted.
PEP-MIT.
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.