Park West CC(1)-PT 980722~ore/Excavation in Public Righ=-Of-Way Perm£~
City of Coppe!l - Public Works Department
Date:
Permit Issued To: Name:
Address:
Project Name:
Phone:
~mergency Phone: ..{ %
Inspector:
llave ~11 City and/or Franchise Utilities Been Contacted and
Existing Utilities Located: YES / NO
Will It Be NecessaI-y to Excavate Street, A~ley or Sidewalk
Pav~ent? · . 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~cea(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~-~nnents prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach ~-arricading/Detour
applicable.
Plan if a lane or street closure
franchise/Contractor keprese~tatlve '~
Date
Franchise Inspector/or City Inspector
Approved/City Re.~.~s en~a 6kve
Date
Applicant shall indemnify and forever hold ha~-nless against each
and eve~/ claim, demand o~ 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 permit from the City, if such pe_~n, it is granted.
PER,MIT. plln
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 BORES ALLOWED!