Riverchase (6.1)-PT 940427Bor~/Exc~vatlon in Public Right-Of-Way Pe~t
City of Coppe!l - Public Works Department
Date:
Permit
Issued To: Name:
Address:
Phone:
Emergency Phone:
Inspector: ~g~- ~.~/. A/~x-S
Ty~e of work/General Description:
Phone
I~ave ~11 City and/or Franchise Utilities Been Contac=ed and
Existinq utilities Located: ~'/ YES NO
Will It Be Necessary to Excavate Street, Alley or Sidewalk
Pavcment? F~ Y~S (attach permit) NO
Representative(s) of the Franchise/Contrac~or 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.
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
PEP-HIT
AC=ach Barricading/De=our Plan if a lane or s=ree= closure is
applicable.
Franchise/Con=rac=6r Represen=a~ive
Dace
Franchise Inspec=or/or City Inspector
DaCe
App!icann shall indemnify and forever hold harmless agains= each
and eve~; claim, demamd or cause of ac=ion =ha= may be made or come
agains= it by reason of or if any way arising ou= of the closure,
blocking, excava=ing, cu==ing, =unneling, or other work by the
applican= under permit from =he City, if such permit is gran=ed.
PER.MIT. 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.
*' [] Inside C/1.
E] Ouuld. C/L
LOCATION
TOWN PLANT
~, SCHOOL DIST.
LONE STAR GAS COMPANY
Proposed , ,
~cetch o~ I CoVeted I ~o~e~
Co. No_: //-~/~ Region:
ER/R. NO. ~}/-/J
u sHEET.O.(,
Spring Valley Construction Company
18475 Dallas Padeeay, Suite 620 · Dallas, Texas 75248
214/931-8600 · Fax (214) 380-9085
Jackson
INSTALLATION
Feet
Original ER No. or Date of Installation for replacement and
retirement projects only:
Date of this report q --//- ~ Y