River Ridge Add-PT 940701Bore/Excavation in Public Right-Of-Way Pox~:
City of Coppe!i - Public Works Depa-'~-ment
Da=e:
Pe=m£~ Issued To= Name:
Address:
Phone:
~mergenCy Phone
Repre"-en~ing:
Phone:
o'. er / enera - Oe c:ip:ion:
,gu 6
lIave ~11 City and/er Franchise utilities Been Contacted and
Exi=tinq Utilities Located: ~ YES NO
Will It Be Necessa=~ to Excavate Street, A~ley or Sidewalk
Pavement? YES (at~ach 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. 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 ~o the Police, Fire, and Public Works DepaxT_ments prior
to closing (,%62-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
A~ach Barricading/Detour Plan if a lane or s=ree~ closure is
applicable.
Franchise/Con=fac=or Represen=at
Franchise inspector/or City inspector
A.~ .~ r = ~C/~_~i;/ReP~sen-ar-ye
Auo!icann shall indemnify and forever hold harm. less against each
a~ eve~! claim, demand or cause of action that may ~e made or come
against it by reason of or if any way arising out of the closure,
tunneling, or other work by the
blockinq, excavating, cutting, if permit is granted
applicant under permit from ~he City, such '
p E~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.