Villages of CC P4-WO 930215 City of Coppell
Water Utilities
Water Isolation Request
The following info~ation must be provided in order to allow
isolation of any part of the City of Coppell Water System. This
fo~ must be completed and submitted to the Utilities Division for
processing forty-eight (48) hours prior to the date the isolation
· s requested.
Time: ~p_ ~./P.M. Date: ~//~/~
Contractors Representative : 0~f~ IP~_
~ea Affected (Street, Block No.):
Time Off: ~ :~O ~P.M.
Time On, ~ ;, O0 A.M.~
Water Main Size.: ~ /r Inches
Water Service: .~;C ~/~inches,~
Water Department Notified:.
Time: .~r' ~ ~P.M. Date:
If water customers of the system will be affected, contractor shall
provide a list of each of those business or residential structures
* Note: The City of Coppell Utilities Division shall perform all
water lihe shut-downs. Contractors are not permitted to
turn any valves in the system.
Con%~act6~ ~-~p~se~n{atZ~e
72/.