Valley R Plaza 1P-PT 970220Bore/Excavation in PLLblic Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date: % / Zo / a7 Project Name:
Permit Issued To: Name:
Address:
Phone:
7'-/.2 EL ~ ¢ ~,'=
%'ype of Work/General Description:
Looatio. of Work:
Phone:
Have All City and/or Franchise Utilities Been Contacted and
Existing Utilities Located: YES / NO
Will It Be Necessa_~-y to Excavate Street, /%l!ey 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 Departments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE
PEP~ZIT
Attach Earricading/Detour Plan if a lane or street closure is
9pplicable.
Franchise/Contractor ~.~.~e.-f~ative
Date
._ancn_se Inspector/or City Inspector
Date
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
applicant under permit from the City, if such permit is granted.
P E P~MI T. 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!