Stonemeade-PT 940408Bore/Excavation in Public Right-Of-Way
City of Coppe!l - Public Works Department
Per:mit Issued To:
Addres~ '
Phone:
~mergency Phone:
Insp~_ctor: Phone
Location of Work:
IIave All City and/or Franchise utilities Been Contacted and
Existin~ Utilities Located: L/ YES NO
will It Be Necessary to Excavate Street, Alley 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 requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Depa_~T_ments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Date
Franchise Inspector/or C£Uy Inspecgor
Date
Applicant shall indemnify and forever hold harmless against each
and eve~; claim, demand or cause of ac=ion ghat may be made or come
against it by reason of or if any way arising out of the closure,
blocking, excavating, cutting, gunneling, or other work by the
applicant under perm. it from the City, if such permi= is granted.
P EP~MIT. 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.
* NO WET BORES ALLOWED!