SC-Cottonwood E9-PT 960229Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l Public Works Department
Date: Z / ~ I ~
Permit Issued To: Name:
Address:
Phone:
~mergency Phone:
Inspector: Phone
~"~fpe of Work/General Description: ~/J~? ~/u~~
Location of Work:
Have ,~11 City and/or Franchise Utilities Been Contacted and
Existinq Utilities Located: YES ~ NO
Will It Be Necessary to Excavate Street, A_~ley or Side~
Pavement7 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. ~rea(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).
or alley must be
Departments prior
Attach Work Order (Franchise Only)
PAGE 2
P EP~ZI T
Attach Rarricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Representative
Date
Franchise Inspector/or City Inspecsor
Ap~r~vecT-C~y Representative
Da%e
Date'
Applicant shall indemnify and forever hold harmless against each
and eve~/ 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
applicanu under per~. it 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.
* NO WET BORES ALLOWED!