Stoneleigh P1-PT 971210Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date:
Permit
12 IO /q7
Issued To: Name:
Address:
Phone:
~ergency Phone:
Representing: ~
~e of Work/General Description: ~~oU~
Have ,~11 City and/or Franchise Utilities Been Contacted and
Existinq Utilities Located: YES / NO
· Will It De Necessary to Excavate Street, A~ley or Sidewalk
Pavement? YES (attach permit)
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
D~partments prior
Attach Work Order (Franchise Only)
PAGE 2
PERi, iT
Attach Rarricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Ke~~
Date
Franchise Inspector/or C£~y Inspector
Date
Date .....
App!ican= shall indemnify and forever hold ha-~m, less against each
and eve~; claim, demand or cause of action cha~ may be made or come
against i= by reason of or if any way arising out of the closure,
blocking, excavating, cutting, uunneling, or ocher work by the
applicant under perm. i~ from uhe City, if such pe_--mi~ is granted.
PERMIT. 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 WETBOR~,S~T.T.O~ ~