Villages of CC P5-PT 970311Bore/Excavation in P~blic Right-Of-Way permit
City of Coppe!l - Public Works Department
Date:
permit Issued To: Name:
Addr e s s .:
Phone:
Emergency Phone:
T~e of Work/Seneral Description: ~{// //f~ ~ 6/ ~f~
llave ~1 City and/or Franchise utilitiem Been Contacted and
Existinq Utilities Located: / YES }~0
Will It Be Necess~ to Excavate Street, ~ley or Sidewalk
payment? YES (attach pe~it) / NO
Representative(s) of the Franchise/Contractor must adhere to all
construction standards approved by the City of Coppell, which
include~ but is not limited to: Compaction of Trenches and Bores,
and Barricading according to the Texas ~nual on Unifo~ Traffic
Control Devices. ~ea(s) affected must be restored to as good
condition as before the co~encement of work.
~y excavation requiring closing of a street or alley must be
reported to the police, Fire, and P~lic Works ~p~ents prior
to clo~ing (462-~44, 462-~133 and 462-8495).
A~tach Work Order (Franchise Only)
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Con=ract~Representau~ve
Franchise Inspector/or City InsPe~ct°r
Da~e
X~9~o%e~C~i ~. Reore-senta=ive
Applicant shall indemnify and forever hold harmless against each
and eve~/ claim, demand or cause of action that may be made or come
agains~ it by reason of or if any way arising out of the closure,
blockinq, excavating, cutting, tunneling, or other work by the
applican~ under pe-~m- it from the City, if such permit is granted.
p ~.JL~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!