Villages CC 1-3-PT 930524Bore/Excavation in Public R/gh=-Of-Way Pexm/=
City of Coppell - Public Works Depar=men=
Da=e:
Permit
Issued To: Name=
Address=
Phone=
~mergency Phone=
Type cf Work/General
Location of Work:
lIave AL1 City and/or Franchise Uti!isles Been Contac=ed and
Exiu=inq Utilities Loca=od: YES ~ NO
Will It Be Neccssa~-! to Excavate $~reet, Alley or Sidewalk
Pave_men=? Y~S (an=ach permit) ~ NO
Representative(s) of the Franchise/Contractor must adhere to all
cons=rucnion snandards approved by =he City of Coppell, which
includes bur is no= limited to: Compaction of Trenches and Bores,
and Barricading according to =he Texas Manual on Un~form Traffic
Control Devices. Area(s) affected must be restored to as good
condition as before the commencement of work.
Any excavation requirinq closing of a stree~ or alley must be
re~orned ~o ~he Police, Fire, and Public Works DepaxT. men=s prior
to closinq (462-1144, 462-1133 and 462-8495).
Work Order (Franchise 0nly)
PAGE
P£P~MIT
Ar=ach Barricading/De=our Plan if a lane or street closure is
applicable.
Fran¢~£se/Connracnor Represen=anlve
Dare
Franchise rns~ec=or/or C£=y Inspec=or
Da=e
Da=e
App!icann shall indemnify and forever hol~ harmless agains= each
and eve~f c!a~m, demand or cause of ac=ion nba= may be made or come
against i= by reason of or if any way arisinq ou= of =he closure,
block£nq, excavating, cuttinq, =unnelinq, or other work by the
applicant under permit frcm the Ci=y, if such permin is granted.
PEr~'~IT. PIIIB
All contractors will contact Public Works @ 462-8495 to have
trenches and/or open =uts inspected prior to back fi%l operation
taking place. Staff will be sent ~o inspect the prb3ect.