Woodlands-PT 951004Bore/Excavation in Public Right-Of-WaY permit
City of Coppe!l - Public Works Department
Date:
Permit Issued To: Name:
Address.:
phone: , ~/~ ,7~5-~/// -
~epresenting:
~ave ~1 City and/or Franchise utilities Been Contacted and
Exiscinq utilities Located: / YES
Will It Be Necess~ to Excavate Street, ~ley or Sidewalk
payment7 YES (attach pe~ic) ~ NO
. ~ ' ~,/~ ~- ~ ~.
/Contractor~ all
Re enta ve(S) of the Franchz~ must adhere
construcnion snandards approved by the City of Coppell, which
includes but is non limited =o: Compaction o~ Trenches and Bores,
and Barricading according to the Texas ~nual on unifo~ Traffic
Con=tel Devices. ~ea(s) affected must be restored to as good
condition as before the co~encement of work.
~y excavation requiring closing of a streeU or alley must be
reported =o the police, Fire, and P~lic Works ~p~entS prior
~o closing (462-1144, 462-1133 and 462-8495).
A~tach Work Order (Franchise 0nly)
PAGE 2
PERMIT
A=tach Barricading/Detour Plan if a lane or street closure is
applicable.
Franchise/Contractor Regrese~a~i
Dare
Franchise inspector/or City Inspector
A_.ogro~e~/C ,_~_~. Reores e nra =ire '
Oa~e
Dare ........
App!icann shall indemnify and forever hold harmless agains~ each
and eve?..; claim, demand or cause of ac=ion ~hat may be made or come
against ~ by reason of or if any way arising out of ~he closure,
blocking, excavating, cut=ing, tunneling, or o=her work by =he
applican= under permit from =he City, if such permi~ is gran=ed.
p~9.MIT. P[IB
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 ~ BOR~S ALLOWED!
J
EXHIBIT "A"
LOT 10 I
........ A, , BLOCKc
ClIY OF COPPELL
LONE STAR GAS COMPANY
ENGINEERING DEPT, DALLA$.TEXA~a
6
J SCALE NONE
EFt-