Riverchase (4)-PT 930316Bore/Excavation in. Public Right-Of-Way permt~
~ .' City of Coppell
.?i'i':'? Date:
',.~':-~*'.~":-".- Permit Issued To:
Phone:
.X4. K
!
}Iave All City and/or Franchise Utilities Been Contacted and
Existing Utilities Located: ~/ YES NO
Will It Be Necessary to Excavate Street, Alley or Skdewalk
Pavement? / YES (attach 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 Manual on Uniform Traffic
.Control Devices· Area(s) affected must be restored to as good
condition as before the commencement of work.
AJ%y 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 0nly)
or alley must be
Departments prior
PAGE 2
· '" PERMIT
Attach Barricading/Detour Plan if a lane
applicable.
or
street,' closure ~ is
.Franchise/Contractgr, Representative
Franchise Inspector/or City Inspector
C~cY~ presentative
Date
Applicant shall indemnify and forever hold harmless against each
and every 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 permit from the City, if such permit is granted.
PERIHI T. PHB