Stonemeade-PT 930126Bore/Excavation in Public R/ght-Of-Way Perm/t
City of Coppell - Public Works Department
Date=
Permit Issued To= Name=
Address:
ergency Pho.e: f ¥ ) t
Representing:
e of Work/General ,Descrip. tion:
¢
Phone:
' /
lrave A~i City and/or Franchise Utilities Been Contacted and
Existing Utilities Located: YES X NO
Will It Be Necessary to Excavate Street, ~ulley or Sidewalk
Pavement? 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 requirinq closing of a street or alley must be
reported to the Police, Fire, and Public Works DepaxT-men=s prior
to closinq (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise 0nly)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchis e / Contr~epres en=a '
Franchise Inspector/or City Inspector
Date
Applicant shall indemnify and forever hold harmless against each
and every claim, demand or cause of action that may be made or come
against i= by reason of or if any way arising out of =he closure,
blocking, excavating, cutting, tunneling, or other work by the
applicant under permit from the City, if such permit is granted.
PERMIT. PIIB