Stonemeade-PT 930719Bore/Excavation in Public Right-Of-Way Permit
City of Coppell
Date: ~ /
Permit Issued To: Name:
Address:
Public Works Department
q-% Project Name: ~Oo~C~0~
Phone:
~mergency Phone:
Representing:
T~e of Work/General Description:
Have A~i City and/or Franchise Utilities Been Contacted and
Existinq Utilities Located: ~l%~u¢~ YES NO
Will It Be Necessary to Excavate Street, A~ley or Sidewalk
Pavement? YES (attach permit) NO
Representative(s) of the Franchise/Contractor must adhere to all
construction s~andards approved by the City of Coppell, which
includes but is not limited to: Compaction of Trenches and Bores,
and Barricading accordinq 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 Work~ DepaxT. ments prior
to closing (462-1144, 462-1133 and 462-8495).
A~tach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Representative
Date t
Franchise Inspector/or City Inspector
Ap~ro e C~y ~ep se~n~a~ive
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 it by reason of or if any way arisinq out of the closure,
blockinq, excavating, cuttinq, tunneling, or other work by the
applicant under permit from the City, if such permit is granted.
P ER~IT. PHB
Ail 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.
~4-2 4/82
' [~ Inside C/L [] RAN
[] Outside C/L
LOCATION (~./) PP II
TOWN PLANT
(if other than I~carion)
SCHOOL DIST.
(Dallas & Tarrant Counl:iesJ
LONE STAR GAS COMPANY
I Proposed
Sketch of I Completed } Project
Co. No.:
MAP SHEET NO.(s)
X
SUMMARY OF PIPELINE CHANGES IN
DISTRIBUTION PLANTS
ABANDONED RETURNED TO
WAREHOUSE NEW INSTALLATION
Size Kind Feet Size Kind Feet Size Kind Feet
Original ER No. or Date of Installation for replacement and
retirement projects only:
Date of this report . /,-~- ~ ~-~(~,