Waters Edge P2-PT 940804Bore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Pertain Issued To: Name:
Address:
Phone:
EmergenCy Phone:
Re~resentLng: ~ 0 $]4
?y~e of Work/General Oescri~:ion: I- Al $/-'~ZL /A/ ~ ~ 5
IIave ~1 Ciny and/or Franchise u~ili~ies Been Con~ac~ed and
Existing u~ilities Located: / YES NO
will I~ Be Necess~ to Excavate Street, ~ley or sidewalk
payment7 YES (a~=ach pe~i~) / NO
Representative(s) of the Franchise/Contractor must adhere to all
cons=ruction s~andards apprcve~ Dy the City of Coppell, which
includes but is not limited to: Compaction o~ Trenches and Bores,
and Barricading according to the Texas Manual on Uniform Traffic
Control Devices. Area(s) affected must be restored to as good
condinion 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
no closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
PAGE 2
pERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Con:fac:or Eepresen:auive
Date
Franchise Inspecuor/or City Inspector
=/Ciuy ~epresenna=ive
A~p!icant shall indemnify and forever hold harmless against each
and eve---./ claim, demand or cause of acnion that may be made or come
against it by reason of or if any way arising out of the closure,
blocking, excavating, cutting, tunneling, or other work by the
ap~lican= under permit from the City, if such permit is granted.
PE~'~IT · 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
LSG
RICHARDSON
TEL:214-255-ab~U
!
I
HU9 Ub'Sa IU:ZD NO.UU~ K.U~
I~INTAiL
SANDY LAKE ROAD