Stonemeade-PT 930813Bore/Excavation in Public Right-Of-Way Permit
City of Coppell
- Public Works Department
Permit Issued To: Name:
Address:
Phone:
Emergency Phone:
Representing:
Inspector:
Type of Work/Genera1 Description:
~'Iave ~1 City and/or Franchise Utilit~s Been Contacte~ and
Existing Utilities Located:/ ~YES NO
Will It Be Necess~ to Excavate Street, ~ley or Skdewalk'
Payment? YES (attach pe~it)' / N0
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
reported to the Police, Fire, and Public Works
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
or alley must be
Departments prior
PAGE 2
PERMIT
Attach Barricading/Detour
applicable.
Plan if a
lane
Franchise/Contractgr ~resentative
or
Date
Franchise Inspector/or City Inspector
' Appr~e~C~t~ R~re~'entative
Bate
Applicant shall indemnify and forever hold harmless against each
and every claim, demand or cause of action 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 the
applicant under permit from the City, if such permit is granted.
PERMIT. PHB