Summer Place-PT 931028Bor~/Excavation in Public Righ~-Of-Way permit
City of Coppell - Public Works Department
Permit Issued To: Name:
~dress:
/0 /~ / 93 Project Name:
Phone:
~ergen~ Phone:
Representing: ( _~T~'
Ty~e of work/General Description:
Phone:
(
Location of Work:
llave Ail City and/or Franchise util~es Been Contacted and
Existinq Utilities Located: ~'/ YES NO
Will It Be Necessa~-y to Excavate Street, ~ley or Sidewalk
Pavement? YES (attach permit) NO
Representative(s) of the Franchise/Contractor must adhere to all
construction standards approved by. ~he City of Coppell, which
includes but is not limited to: Compaction of Trenches and Bores,
and Barricading according to =he Texas Manual on Uniform Traffic
Control Devices. A~ea(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 Depar~_ments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PER'fIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
FrancSise/C0n~rac=~ R~s e nra=ire
Franchise Inspector/or City
/~i%y ~. resen~auive
Inspector
Date
Applicant shall indemnify and forever hold harmless against each
and eve~, claim, demand or cause of ac:ion ~ha: may be made or come
againsn i= by reason of or if any way arising out of the closure,
blocking, excavating, cutting, tunneling, or other work by the
applicann under permit from the City, if such permit is granted.
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.
* NO WBTBORES~T.~W~D!