Vistas of C-PT 970416Bore/Excavation in Pu2Dlic Right-Of-Way Permit
C/%y of
Date:
Coppe!l - Public Works Department
Permit Issued To: Name:
Address:
Phone:
~mergency Phone:
Inspector: Phone: ~ ~
~fpe of Work/General Description: .~/¢~TF;/I /'/~I~61~;¢5
flare ,~ City and/or F=anchise Utilities Been Conbacted and
Existinq Utilities Located: YES ~O
Will Zb Be Necess~ to Excavate Street, ~ley or Si~
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
includes but is not limited to: Compaction of Trenches and Bores,
and Barricading according 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 Departments prior
to closing (,%62-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
PEPC<!T
Attach ~arricading/Detour Plan if a lane
applicable.
Franchise/Contractor Representative
or street closure is
Date
._ancn_se Inspector/or City Inspector
App~i~y~Z~/% ~./~~/Represen~a~ive
Date
Date -
App!icann shall indemnify and forever hold ha~m. less against each
and eve~/ claim, demand or cause of action that may be made or come
against it by reason of or if any way arising ou~ of the closure,
blocking, excavating, cutting, nunneling, or other work by the
applicant under pe_~rmit from the City, if such permit is granted.
P EIUMIT. 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!