Vistas of C-PT 961213Bore/Excavation in PnLblic Right-Of-Way Permit
City of Coppe!l - Public Works Department
Permit Issued To: Name:
Address:
Phone:
~aergency Phone:
TI. 7 oo&
Location of Work:
Have ,~ll City and/or Franchise Utilities Been Contacted and
Existing Utilities Located:
YES ~ NO
will It Be Necessary to Excavate Street, Alley or Sidewalk
Pavement? YES (attach 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 Mnnual 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 Departments prior
to closing (.%62-1144, 462-1133 and 462-8495).
Attach Work Order
(Franchise Only)
c_ /r ,,...
PAGE 2
P EP~MI T
Attach Rarricading/Detour Plan if a lane or street closure is
applicable.
Date
Franchise Inspector/or City Inspector
Date
Representative
Date
Applicant shall indemnify and forever hold harmless 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 out of the closure,
blocking, excavating, cutting, :unneling, or other work by the
applicanu under pe-~rn, it from the City, if such pe_~rmit is granted.
P E ~IT. PHB
All 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!