Round Oak-PT 940819Bore/Excavation in Public Right-Of-Way Perm/t
City of Coppel>l - Public Works Departnnen~
Permit Issued To: Name:
Address:
Phone:
EmergenCy Phone:
Representing:
Type of Work/Genera~ D~scription: ~ ~
IYave A.Ii City and/or Franchise utilities Been Contacted and
Exis=inq utilities Located: / YES NO
Will It Be Necessary to Excavate Street, Alley or Sidewalk
Pavement7 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 =o: Compaction of Trenches and Bores,
and Barricading according to the Texas Manual on Uniform Traffic
Control Devices. A=ea(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_~tments prior
to closing (462-1144, 462-1133 and 462-~495).
Attach Work Order (Franchise 0nly)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
ranchi~e/~dn=~ac{or ReDresentative
Date
Franchise Inspector/or City InspecCor
Date
Applicant shall indemnify and forever hold harmless against 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 =he closure,
blocking, excavating, cutting, uunneling, or other work by the
applicant under permiU from =he City, if such permit is granted.
PERMIT. PIIB
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 WETBORES AT~)W~D!
" ROUN
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