Summit PW-PT 961025Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l Public works Department
Permit Issued To: Name:
Ad. ess:
Phone:
~mergency Phone:
Type of work/General Description:
Location of Work:
Phone: ,972, 1344
flare ,111 City and/or Franchise Utilities Been Contacted and
Existing utilities Located: YES /NO
will It Be Necessary to Excavate Street, AZley or Sid~k
Pavement7 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.
Any excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Depa/rtments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach Rarricading/Detour Plan if a lane or street closure is
applicable.
Date
Franchise Inspector/or City Inspector
Date
Approved/City Representative
Date '
Applicant shall indemnify and forever hold harmless against each
and eve~; claim, demand or cause of acuion 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 ~he
applican= under permit from the City, if such permit is granted.
PER.MIT. PIIn
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 WET BORES ALL(~SED!
4690
A 15~~
15
TU ELECTRIC
DESIGNER
USERID FJAK
PHONE 214'888-1344
PHONE
WR NAME __.
CUSTOMER
LOC~T[ON
CONSTRUCTION PRINT