Riverchase (4)-PT 931012 (2)Bore/Excavation in Public Right-Of-Way Pea-mit
City of Coppe!l -
Permit Issued To: Name:
Address:
Phone:
Emergency Phone:
~"~e of Work/General Description:
Public Works Department
IIave ~11 City and/or Franchise Utilities_ --Be~C°ntacted- and
Existing utilities Located: <~_YES .~ NO
Will It Be Necossa--~-y to Excavate Street, A~ley or
Pavement? YES (attach permit) ~g---~
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 Manual on Uniform Traffic
Control Devices. Area(s) affected must be restored to as good
condition as before the commencement of work.
kny excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works D~partments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE
PEP~MIT
Attach Barricading/Detour Plan if a lane
applicable.
Franchise/C~tractQr Representative
or street closure is
Daue
Franchise Inspector/or City Inspector
Date
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 the closure,
blocking, excavating, cutting, tunneling, or other work by the
applicant under pea-mit from the City, if such perm. it is granted.
PEP,HIT. 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 W~ET BORES ALLOWED!