Waters Edge P1-PT 930429 (2)Bore/Excavation in Public Right-Of-Way Permit
City of
Coppetl - Public Works Department
Phone:
Emergency Phone:
Ilave All City and/or Fran se utilities Been Contacted nd
Existinq Utilities Located:~-~ YES NO
Will It Be Necessa~-y to Exc te 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 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
reported to the police, Fire, and Public Works
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise Only)
or alley must be
Departments prior
PAGE 2
PERMIT
Attach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise / Contractor VRepresentative
Date
Franchise Inspector/or City Inspector
Date
Applicant 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.
PER~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.
~side C/L
[] Outside C/L
LOCATIO~/
TOWN
SCHOOL DIST.
[] R/W
rh~ location)
LONE STAR GAS COMPANY
j Proposed
Sketch of I Completed
SUMMARY OF PIPELINE CHANGES IN
DISTRIBUTION PLANTS
RETURNED TO NEW INSTALLATION
ABANDONED WAREHOUSE
Size Kind Feet Size Kind Feet Size Kind Feet
Co. N(
ER/RR
/'7
/¢
Original ER No. or Dare'of In~taU~tion ~or replacement and
retirement proieet$ only:
Date of this report