Waterside E P3-PT 950831~ore/Excavation in Public Right-Of-Way Permit
City of Coppe!l - Public Works Department
Date: ~ /,~/ / ~', Project Name:
Permit Issued To: Name:
~e of Work/General Description:
/
~ave ,~1 City and/or Franchise utilities neen Contacted and
Exiutinq Utilities Located: ~ YES NO
Will It Be Necess~ to Excavate Street, ~ley or Sidewalk
payment? YES (attach pe~it) / NO
Representative(s) of the Franchise/Contractor mus~ adhere ~o all
cons=ruc=ion s~andards approved by the City of Coppell, which
includes but is not limited ~o: Compac=ion of Trenches and Bores,
and Barricading according to the Texas ~nual on Unifo~ Traffic
Control Devices. ~ea(s) affected mus~ be restored to as good
~y excavation requiring closlng of a street or alley must be
~p~ents
t° 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/Contractor Rep ~tative
Date
Franchise Inspector/or City Inspector
~n=a~ive
Date
A~p!icant 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, tunneling, or other work by the
applicann under permit from the City, if such permit is granted.
pEr,MIT. PIIB
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!