Warren Addition-PT 950215Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!! - Public works Department
Project Name:
Permit Issued To: Name:
Address:
Phone:
~mergency Phone:
ReprEsenting: ~/~%~
Inspector:
Ty~e of Work/General Description:
Location of Work: ~-~-~"~-~-/ ~'~<-~/~
Have ~ll City and/or Franchise Utilities Been Contacted and
Existing Utilities Located: J YES NO
Will It Be NecesSal-y to Excavate Street, Alley or Sidewalk
Pavement7 YES (a~tach permit) J 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. Ancea(s) affected must be restored to as good
condition as before the commencement of work.
A~y excavation requiring closing of a street or alley must be
reported to the Police, Fire, and Public Works Depa~--T_ments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise 0nly)
PAGE 2
PER/~IT
At=ach Barricading/Detour Plan if a lane or s=ree= closure is
applicable.
Franchise/Con~rac~or Represen=ative
Da=e
Franchise Inspector~or City Inspec=or
Date
Date
Applicant shall indemnify and forever hold harmless agains= 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
C-.y, if such permit is granted.
applicant under permit from the ~"
P E ~MIT. 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.
* N0 WET BORES ALLOWED!
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