Villages of CC 6-PT 950912Bore/Excavation in Public Righ~-Of-Way Permit
City of Coppe!l - Public Works Department
Date:
Permit Issued To: Name:
Address:
Phone:
Emergency Phone:
ca=io of wo= :
~ave ~1 City and/or Franchise utilities Been Contacted and
Existinq utilities Located: ~ YES NO
Will It Be Necess~ to Excavate Street,
Payment? YES (attach pe~it) NO
Representative(s) ?f .the Franch~s~/C%%~ra~ must adhere to all
cons=ruc=lom s=an~ar=s approve~ Dy un= ~ y of Coppell, which
includes but is no= limited =o: 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 =o =he Police, Fire, and P~lic Work~ ~p~ents prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise 0nly)
PAGE 2
pERMIT
Attach Barricading/De=our Plan if a lane or street closure is
applicable.
Franchis e / Con=rac=oz~'Kepre s enna=ive
Franchise inspector/or City Inspector
~~ennauive
Apo!icann shall indemnify and forever hold harmless against each
an~ eve?.; claim, demand or cause of action ~ha= may be made or come
against i= by reason of or if any way arising out of =he closure,
blocking, excavating, cut=lng, tunneling, or other work by =he
applicant under permit from =he City, if such permit is granted.
PER.MIT. PIIB
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 ~J~LOWED!