Park West CC(2)-PT 97061707 ~/97 14:05 CITY OF~COPPELL ENGINEERING ~ CiTY OF COPPELL N0.~40
APPLICATION
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IIIIII
1. Nome of Applicant: o ~T ~O~ -g .
5
Or:
Type of proposed comtFuction or development:
( ) Residential ( ) Alteration of' a uturol waterway drainage course
( ~on-r~sidentlal ( ) Other (det¢~b~ & attach drawing or
( ) Placement or F'dl (~n ~gkt.oj'-w~y or on l~J~mte
4. Desc~)tioIl or CmLstruction Permit requ~:
( q'Pavfng ( ) Median or Landscal~ng
( ),~4cwulk
(if'Drive Approach
( ) Excavation
Lane
( ) Bridle
( ) Water Malfl
( ) R.C.P.
( ) Sanitary Sewer Main
( ) Flume
( )
( ) Box Culvert
( ) R~p Rap
( ) Fill Area
( ) Drainage Chanad E~ulvation
( ) Slope Protection Retaining
Lot
Please provide the nt~m~, address and 24 hour phone umber for supervisor of every contractor working under
this general permit.
07,24×9?
CITY OF~COPPELL ENGINEERING ~ CITY OF COPPELL
N0,440
CONSTRUCTION
PERMIT APPLICA
Page 2
$- ~ con.?ction sh.,ll toUow the Ci~ o1' ~,~-,~* ~ ~.-.
~:omtructton DetaQs $,~,-, ..... ,~,~ ~.. -~-~-~,, ouomvmon Ordnance, Stan~da~*
comnfi:m~o ,~,~ v.^'* "'~ -~'~-~. rmn aha stamped a roved ,ng. Th~ activity
6. AppUcant shall proHde oile copy of .a.pproved plans, spec~flcat~o .
or contract of the proposed comtrucUon · ...... ns and reJated cos~ est~mat~
- ,~,- mc purpose or perm/t fee calculatioo.
7. A .Construction Pern~t Fee in accordan
prior to beghming work. .~ .,,u me ~.lty or C0ppell Fee Ordinance shall be paid
,,a.,,,,,,
NOTE: A separate excavation r~rm~t
work in the ri~bt-o, ay -,,, -~,--'~-~,'~..z~q,~mr~.. a~_yUme pavement is cut or when there is
S trna c Of Applicant ' --
Date
FOR CITY USE ONLY
Is the flu area located in an identified flood hazard area? ( ) Yes ( P~o
If yes, then a Floodplain Development Permit is required before any construction can begin.
Is additional information required?
( ) Yes O~No
Are other Federal, state or Ioca/permits requ/red?
(~PERMIT AJ~PLICATION APPROVED
(), PERMIT APPLICATION DISAPPROVED
Yes (t~o