Waters Edge P2-PT 930407City of Coppell - Public Works Department
Address:
Phone:
Emergency Phone:
Representing: ~ LL W
Inspector: ~ff C~qe~
Phone:
Ty~e of Work/General Description:
~rave A~l City and/or Franchise Utilities Been Contacted and
NO
Will It Be Necessa~-~ to Excavate Street, Alley or Sidewa3_k
Pavement? YES (attach permit) ~-~ NO
Representative(s) of the Franchise/Contractor mus= adhere to all
cons=ruction s=andards approved by the City of Co ell
includes bu= is · . · . PP , which
control Devices. Area'-' -~ ~ ~ --~ ~,~ u~.~.~orm xrazz~c
~=) ~=zec=e= must be restored =o as good
condition as before the commencement of work.
Any excavation requiring closing of a street or alley must be
reported =o the Police, Fire, and P~bllo Works DepaxT.~n=s prior
to closing (462-1144, 462-1133 and 462-8495).
Attach Work Order (Franchise 0nly)
P~GE ~
PEI~TT
Barricading/Detour Plan if a lane or street closure is
appl£cable.
Franch'is eT~ontract 6r Represen=ative
Date
Franchise Inspector/or Ciuy
A~pr~v~C;~Ci~7 a~reSen=aUive
Inspector
Date
Applicann shall indemnify and forever hold harmless agains= each
and every claim, demand or cause of ac=ion that may be made or come
agains= it by reason of or if any way arisinq out of =he closure,
blockinq, excava=ing, cu==inq, nunneling, or other work by =he
applican= under permit from =he Ci=y, if such permit is granned.
PERIHIT. PIII3
All contractors will contact PublicWorks @ 462-8495 to have
~renches and/or open ~uts inspe~e4 prio~t0,~a~£i~.~a~/~n
taking pla~e. Staff will be sent to in~'~e~0j~"