Villages of CC P5-PT 970207Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date: 2 / ~ / q7 Project Name: 71'//~f ~ ~D~O ~/~ S~C7t'~/~
Permit Issued To: Name:
Address:
Pkone:
~er~ency Phone
~3~pe of Work/General Description:
Have ,~!l City and/or Franchise utilities Been Contacted and
YES
Existinq Utilities Located:
Will It Be Necessary to Excavate
Pavement? YES (attach
Street, Alley or Sidewalk
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. ~rea(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 Depa_~tments prior
to closing (.%62-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PER/~iT
Attach Barricading/Detour Plan if a lane or street closure is
~pplicable.
Franchise/Contractor Repr.~tive
Date
Franchise Inspector/or City Inspector
Approved/City Reores e.~C~~ve
Date
Date .....
Applicant shall indemnify and forever hold harmless against each
and eve~; claim, demand or cause of ac~ion that may be made or come
against £t by reason of er if any way arising out of the closure,
blockinq, excavating, cutting, tunneling, or other work by the
applicant under pe-~rn, it from the City, if such permit is granted.
P EP~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.
* NOW-ET BORES ALLOWED!