Parks Coppell-WO 930309 City of Coppell
Water Utilities
Water Isolation Request
The following information must be provided i er to allow
isolation of any part of the City of Coppell Water System. This
form must be completed and submitted to the Utilities Division for
processing forty-eight (48) hours prior to the date the isolation
is requested.
Time: ~ '~/P.M. Date: ~- ~-~-~
Project Name:
Contractor:
Contractors Representative
Area Affected (Street, Block No.):
Time Off:
Time On,
Water Main Size:
A.M.~
Inches
Water Service: /" Inches
Water Department Notified: 7 - ~-~ ~
Time: f~tr~ A~.~/P.M. Date~ ~ -~--~3
If water customers of the system will be affected, contractor shall
provide a list of each of those business or residential structures
affected.
* Note: The City of Coppell Utilities Division shall perform all
water line shut-downs. Contractors are not permitted to
turn any valves in the system.
Contractors Representative
Date