Park West CC(1)-PT 980624Bore/Excavation in Public Right-of-Way Permit
City of Coppe!l -
Date:
Permit Issued To: Name:
Address:
Public Works Department
~mergency Phone:
Re=re~e..~_ng.
Inspector:
%~3~pe of Work/General Description:
Z- PVc
Location of Work:
Have ,~11 City and/or Franchise Utilities Been Contacted and
Existin9 Utilities Located: ~/'/ES
Pavement? YES (attach permit) V 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. ~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 Departments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PE~M!T
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
~ ~anchise/Contracuor Repros. :~ve Date
Franchise Inspector/or City Inspector
Date
Ap p r u ye C / C i/~%1 ~p~c ire
-7-6
Date
Applican% shall indemnify and forever hold harmless agains= 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
applican~ under perm. it from the City, if such pe_~m, it is granted.
P ER~IT. PHB
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 Wq~T BORES ALLOWED!