Park West CC(6)-PT 980430Bore/Excavation in Public Right-Of-Way Permit
City of C0ppe!l
Date: 4 / '~) / ~1~
Permit Issued To: Name:
Address:
- Public Works Department
Project Name:
Phone:
~mergency Phone:
Representing:
~e of Work/General Desc=iption: ~Vi~ ~WO ~V ~
IIave ~11 City and/or Franchise Utilities Been Contacted and
Existinq Utilities Located: YES ~ NO
Will It Be Necessary to Excavate Street,
Pavement? YES (attach permit)
l%lley or Sidewalk
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. 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 DeparTnnents prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PEfhHIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contracto~ 'R'eprese~
Dane
Franchise Inspector/or City Inspector
Ap.~vec~epres en~a ~ive
Date
Date
Applicant shall indemnify and forever hold ha~less againsn each
and eve~/ claim, demand or cause of action thau may be made or come
against Lt by reason of or Lf any way arising ouu of the closure,
blecking, excavating, cutting, tunneling, or other work by the
applicann under pe~it from the City, if such pe~it is granted.
PERi, 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.
%~NOWET BORES ALLOWF..D!