Waters Edge P1-PT 930429 Bore/Excavation in Public Right-Of-Way Permit
City of Coppell - Public Works Department
Date:
Permit Issued To: Name:
Address:
Phone:
Emergency Phone:
Ty~e of Work/General Description: ~-~ ~ ~ ~
IIave ~1 City and/or Franchise Utiliti~n Contacted and
will It Be Necessal-y to Excavate Street, A~ley 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 Manual on Uniform Traffic
Control Devices. Area(s) affected must be restored to as good
condition as before the commencement of work.
Any excavation
reported =o the
=o closing (462-1144,
requiring closing of a street or alley must be
Police, Fire, and Public Work~ Departments prior
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/Contractor Representative
Date
Franchise Inspector/or City Inspector
Date
Date
A9plican~ shall indemnify and forever hold harmless against each
and every 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, tunneling, or other work by the
applicant under permit from the City, if such permit is granted.
PERMIT. 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.
~] Inside C/L ~ R/W
[] Outside C/L
LOCATION C. oppFz )_
TOWN PLANT
SCHOOL DIST.
LONE STAR GAS COMPANY
Proposed
Sketch of { Completed } Project
Co, N o.: J~.~ Region:
MAP SHEET NO.(s)
3
lq
SUMMARY OF PIPELINE CHANGES IN __~1
DISTRIRUTION PLANTS '"~
ABANDONED RETURNED TO NEW iNSTALLATION
WAREHOUSE
Size Kind Feet Siz--e~ Ki~d F~et Size Kind Fee~'
Af
Original ER No. ol Date of installation for replacemem
· retirement projects only: