Peninsulas-PT 950906Bor~/Excava=ion in Pu~lig Righ=-Of-Way Perm/=
City of Coppe!! - Public Works Department
Permit Issued To: Name:
Add=ess:
Phone:
~mergen~ Phone:
~/~e of work/General Descriptiom:
P 0ne:
Have Ail City and/or Franchise Utilities Been Contacted~/ and
Zxistimq Utilities Located: YES A NO
Will It Be Necessary to Excavate Street, Alley or Sidewalk
' Pavement7 Y~S (a~tach 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 Manu.al on Uniform Traffic
Control Devices. Area(s) affected must be restored to as good
condition as before the commencement of wor~. '~
Any excavation requiring closing of a street or alley must be
reported =o the Police, Fire, and Public Works Depa_~T_ments prior
to closing (462-1144, 462-1133 and 46~-8495).
A~tach Work Order (Franchise Only)
PAGE 2
PERMIT
A=~ach Barricading/Detour Plan if a lane or s~reet closure is
applicable. _
Franchise Inspector/or City inspec=or
A~ .~r = veC~"-'- =y Re?resenna~ive
Date ....
App!icann shall indemnify and forever hold ha_--m.!ess againsn each
and eve~! claim, demand or cause of action that may ~e made or come
aqains= ;= by reason of or if any way arising out of ~he closure,
blocking, excavating, cut~ing, tunneling, or other work by =he
a~p!ican= under perm. i= from the City, if such pe---mit is granted.
PERMIT. PHB
Ail contractors will contact Public Works @ 462-8495 to have
trenches and/or open cuts inspected prior to back fill operation
taking p~ace. Staff will be sent to inspect the project.