Villages of CC P4-PT 940624 Bore/Excavation in Public Right-Of-Way Perm'
City of Coppe!l - Public Works Department ~Y'
Date:
Permit Issued To: Name:
Address.-
Phone:
Emergency Phone:
Inspector: Phone:
T'lrpe of Work/General Description: ~
Location of work:
Ilave ,~ll City and/or Franchise Util~ie~ Been Contacted and
Existinq Utilities Located:
Will It Be Necessary to Excavate Street, Alley or Sidewalk
Pavement? YES (attach permit) ~/ NO
Representative(s) of the Franchise/Contractor must adhere to alt
construction standards approved by the City of Coppell, which
includes but is not limited to: Compaction of Trenches and Bores,
and Barricading accordinq 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 Depa_~tments prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
~AGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicaDle.
Franchise/Contractor Representative
Franchise Inspector/or City Inspector
Date
Applicant shall indemnify and forever hold harmless against each
and eve~/ c~aim, demand or cause of action that may be made or come
against Lt by reason of or if any way arising out of the closure,
blocking, excavatinq, cutting, tunneling, or other work by =he
applican~ under permit from the City, if such permit is granted.
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.
* NO WET BORES ALLOWED!