Pecan Valley-PT 930506Bore/Excavation in Public Right-Of-Way Permit
City of Coppell - Public Works Department
ssuea To:
Phone:
Emergency Phone:
~ave ~1 City and/or Franchise u~ili=ies Been Con=acted and
Existing u~ili=ios Located: / YES NO
Will IC ~e Necess~ =o Excava~ SCreen, ~ley or Sid~alk
R~,~,~ntaCive(s~ of the Franchise/Contractor must adhere =o all
-=---~ion ~c~ndards approved by the City of Coppell, which
constr ·
includes bu~ is not limited to: Compaction of Trenches and Bores,
and Barricading according Co =he Texas Manual on Uniform Traffic
Control Devices. Area(s) affected must be restored Co as good
condition as before the commencement of work.
Any excavaCio.n requiring .closing. of a. screec or alley must be
reported co ~he Police, F~re, anG Public Works Departments prior
co closing (462-1144, 462-113~ and 462-0495).
A~tach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchis~6ntractor Repre-4entative .
Date
Franchise Inspector/or City Inspector
~ C~_=~ Re .~es enta rive
Date
Dat.V /
Applicant shall indemnify and forever hold harmless against each
and every claim,~demand or cause of action =hat 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
applicant under permit from the City, if such permit is granted.
PER~IT · PHB
All 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.