Riverchase (2)-PT 930121Bore/Excavation in Public R~ght-Of-Way Permit
City of Coppell - Public Works Department
Permit Issued To: Name:
Address:
Phone:
Emergency Phone:
Representing: S~c-= ~
Ty~e of Work/General Description:
lIave All City and/or Franchise Utilities Been Contacted and
Existinq Utilities Located: __ YES NO
Will It Be Necessa=~ to Excavate Street, Alley or Sidewalk
Pavement? YES (attach permit) X NO
Representative(s) of the Franchise/Contractor must adhere to all
cons=ruction standards approved by. =he 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 =o as good
condition as before =he commencement of work.
Any excavation requiring closing of a street
reported to the Police, Fire, and Public Works
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only}
or alley must be
Departments prior
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PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Representative
Date
Franchise Inspector/or City Inspector
Date
Da=e/ /
Applicant shall indemnify and forever hold harmless against each
and every claim, demand or cause of ac=ion =ha= may be made or come
against it by reason of or if any way arising out of the closure,
blockinq, excavating, cutting, =unneling, or other work by ~he
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 ba sent to inspect the project.