Riverchase (4)-PT 931012Bore/Excavation in Public Right-Of-Way Permit
City of Coppei1 - Public Works Department
Representing: ~
/
Have ,~1 City and/or Franchise Utiliti~ Con~acted and
Existing Utilities Located: Q_ YE~ NO
Will It Be Necess~~avate Street, ~ley or Sidewalk
Payment? ~~tach~/' ps,it) ,~N~ /~
Representative(s) ~f 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 ~nual on Unifo~ Traffic
Control Devices. ~ea(s) affected must be restored to as good
condition as before the co~encement of work.
Any excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works DeparTments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or
applicable.
Franchise/C~ntractor Represen~ive
street closure is
Date
Franchise Inspecuor/or City Inspector
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 ou~ of the closure,
blocking, excavating, cutting, ~unnelinq, or other work by the
applicant under permit from the City, if such permit is granted.
P EP~MIT. 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 WET BORES ALLOWED!