Summit PW-PT 961218Bore/Excavation in Public Right-Of-WaY Permit
City of Coppe!l - Public works Department
Date:
Permit Issued To: Name:
Address .:
Phone:
Emergency Phone:
Re,resenting: ~
Have ~11 City and/or Franchise u~litie~ Been Contacted and
Existing utilities Located: ~ . ~ES ... NO
Will It Be NecesSarY to Excavate Street, Alley or Sidewalk
pavement? YES (attach permit} / NO
Re~--~sen=ative(s) of the FranchisefContractor mu adhere to all
standards approved by the City of Coppell, which
construction
includes but is not limited to: Compaction of Trenches and Bores,
and Barricading according to =he Texas Manual on Uniform Traffic
Control Devices. Area(s) affected must be restored to as good
condition as before the commencement of work.
~-~- ~uirino closing of a street or alley must be
AnY excava~ ..... ~ · - - --= ---~=c Worku Depa~mentS prior
re orted to the police,
tO-closing (462-1144, 462-113~
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Cont~or Represencati
Date
Franchise Inspector/or City Inspector
Date
App!icann shall indemnify and forever hold harmless againsn each
and eve_--.; claim, demand or cause of acnion that may be made or come
against it by reason of or if any way arising out of the closure,
blockinq, excavating, cutting, ~unneling, or other work by
applican= under pe-~mit from =he City, if such permit is granted.
PEr,MIT. PIIB
Ail contractors will contact Public Works @ ~to have
trenches and/or open cuts inspected prior to back fill operation
taking place. Staff will be sent to inspect the project.
* NO WET BORES ALLOWED!
EXHIBIT "A"
BETHEL
MATCH LINE
BETHEL ROAD
THIS EXHIBIT SI(ETCH IS FOR
REVIEW ONLY. THE ACTUAL
LINE LOCATION MAY VARY UPON
COMPLETION OF' THE PROJECT,
LONE STAR GAS COMPANY
ENGINEERING DEPT. DALLAS,TEXAS
SUMMIT AT THE SPRINGS
DnAWN KBP
I D^T£11/20/96
sc,L. ,,,ONE 15
CHK'O.
MAP SHEET NO.
ER-