SC-Coppell MSW-PT 941111PUJDI!c Right-Of-Way Pe---m/~
Ccppe!! - Public Works Department
Da%e:
P~_--~£u Issued To: Na~e:
~ergen~; Phone:
~3~,e cf Work/Genera! Cescription:
· ' ' U .... t_es Been Contacted and
Have 2~ C!t'3 and/or Drahch~se ~;" ; ;
Wi!A It ~e Necessa-~y. to Excavate S~reet, Alley or Side~a!k
pavement? YES (attach ~e---mit) X NO
Representative(s) cf the Franchise/Concrac~ur must adhere to all
construcnion standards approved by the City of Coppel!, 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 D~pa_r~_ments prior
to closing (462-1144, 462-1~33 and 462-8495).
A~tach work Order (Franchise Only]
Franchise i.-.s.uectCr/or CL~-7 %.-.s.~ecu=r
-= - c/C~_-_7 /eprese.-~nan'-ve
Applicant shall lndemn£fy ane f-r-"-- hold ..a .....
and e.ze~:' claim, demand cr cause cf acm!om %hat ma7 ~e made or come
aqainsn '- by ~=ascn ct cc if an'z ~av arisinq out cf uhe closure,
~- -- L .... ' ~ :- c~her work
blcckinq, excavatLmq,/~'attim~, ~ ..... e .... q, cr -
a~p!£can= under perm. it from the C£~y, if such perm. it is
p =rC.I. · F.IB
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.
e3~11~12~ 2423.1.et (laP)
<SP~IAL) H~526142
COWBOY [
C3313,376'400
REViSiON l
DESTROY ALL PREVIOUS COPIES
M~253780
COPPELL
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