Riverchase (6.1)-PT 940810Bore/Excavation in Public Right-Of-Way Per~{=
City of Coppe!l
- Public Works Department
Projec~ Name:
Phone:
EmergenCy Phone:
?~e of Work/General Description:
ph. one:
Existing utilities Located: ~-'~ES NO
will It Be Necessary to Excavate Street, Alley or Sidewalk
Pavement? YES (attach permit)
Representative(s) of the Franchise/Contractor must adhere to all
construcnion 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. ~rea(s) affected must be restored to as good
condition as before the commencement of work.
Any excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Depa_~tments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach work Order (Franchise Only)
PAGE 2
PERMIT
At=ach Barricading/Detour Plan if a lane or street closure is
agpl£¢able.
Franch£se/Con%=~=~-~ ~.uresen=a~
Franchise Ins
,ecnor/or C£zy Inspecnor
~e.oresen=a=ive
Dare
.Da=ez-- f
A~p!icann shall indemnify and fcrmver hold ha_--m.!ess against each
and eve~; c!aLm, demand or cause of action =hat may ~e made or come
against it by reason of or if any way arising out of =he closure,
blocking, excavating, cut=lng, =unneling, or other work by =he
applican= under pe_--mit from nhe City, if such pe---n, i= is granted.
P E r~MI T. PIIB
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 be sent to inspect the project.