Waterside P1-PT 920908Bore/Excavation in Public Right-Of-Way Permit
.City of Coppell - Public Works Department
Address: 7~ -~f/; ~ ~
/
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Phone: ( ~% ~- ~ ~
~orgency Phone I ( ~./~} ~Z/- ~ ~/
Representing:
Inspector: Phone:
Type of Work/General Description:
}lave All City and/or Franchise Utilities Been Contacted and
Existing' Utilities Located: / YES NO
Wil~ It Be Necessary to Excavate 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).
or alley must be
Departments prior
Attach Work Order (Franchise 0nly)
PAGE 2
PERMIT
Attach Barricading/Deto~ Plan if a lane
applicable.
Franch~Contractor Representative
or
Franchise Inspector/or City Inspector
s~tative
Applicant shall indemnify'and forever hold
and every claim, demand or cause of action tha
a~ainst it by reason of or if any way arising?.ou
blocking, excavating, cutting, tunneling, or
applicant under permit from the City, if such
Date
Da
PERMIT.PHB