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Coppell Ind 2-PT061130T H E C I T Y O F • COPPELL ~~- ~ ~ i; ~ T p F x A s 1 8 q CONSTRUCTION DEVELOPMENT PERMIT APPLICATION 1. Name of Applicant: f /la~.~oo,) !.=T ~ Date Submitted: /(/ ~®/06 Address of Applicant: s'r~~ 0 1. $ J FK~~+~~i . Sti art aoc L7~~-~~S . TJC . 7S~~o Phone Number: 17 at - ~ o I - a 8 0 o FAX NUMBER: ~' 7,~ - o?o ! - Z 4 LY 9 2. Location of Construction (address, if available): N~~,~weep 1'a~-o /~b, t , l..P , TR~cy"~. Vp1.. X00300(0 +~'i Doo7~ DR~CT Subdivision Section # Block # Lot # OR Survey/Abstract # Acreage Location description (attach vicinity map): ~r ThtCL ~ D. ~~fiwQei~ {~~,qt,l.~. d~ F~>:E1~`r` ~~~-J 3. Type of proposed construction or development: () Residential () Alteration of a natural waterway drainage course () Non-residential (v3~Other (describe & attach drawing or sketch) () Placement of Fill (in right-of--way or on private property) 4. Description of Construction Permit requested: ( )Paving ()Median or Landscaping ()Box Culvert ()Sidewalk ( )Drive Approach ( )Excavation ( )Fire Lane ( )Bridge ( v~Water Main ( ) R.C.P. (unitary Sewer Main ()Flume ( )Inlet ( )Rip Rap ( )Fill Area ( )Drainage Channel Excavation ( )Slope Protection/Retaining Wall ( )Parking Lot • Please provide the name, address and 24 hour phone number for supervisor of every contractor working under this general permit. 5. All construction shall be in compliance with, but not limited to, the City of Coppell Subdivision Ordinance, Standard Construction Details, Streetscape Plan and approved plans. The contractors shall adhere to the City's Erosion Control & Sedimentation Ordinance. 6. Applicant shall provide a copy of approved plans, specifications and related cost estimate or contract of the proposed construction for the purpose of permit fee calculations. CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Page 2 7. A Construction Permit Fee in accordance with the City of Coppell Fee Ordinance shall be paid prior to beginning work. Amount Due: L,~ ~~ • G~ Date Paid: /r/3o~Q 6 NOTE: A separate excavation permit is required anytime pavement is cut or when there is work in the right-of--way not approved by the City Engineer. - Any work requiring closing of a lane of traffic, street, or alley must be approved by the Engineering Dept. with notification to the following prior to closing: Police Department Q 972-304-3600 Fire Department ~ 972-304-3500 Street Department @ 972-304-3546 Engineering Department Q 972-304-3679 - Attach barricade plan /trench safety plan of a lane or street closure. (Required) Note: Street closures are allowed •from 9:00 a. m. until 3:00 p. m. ONLY unless otherwise approved by City Engineer. - Apre-construction meeting is required prior to beginning work related to this permit. Contact the ins ector to schedule meeting. /~ Gi~4l/s S, ~~~ c. a/~1 ~ 8~1- 07 ~~ gn re o plicant Printed Name Contact Number // ~ City Inspector Contact Number(s) FOR CITY USE ONLY Ys the fill area .located in an identified Rood hazard area? OYES ~ NO If YES, then a Floodplain Development Permit is required before any construction can begin: Is additional information required? OYES ~ N0 Are other federal,.. state, or local permits requires? OYES n' NCB O PERMIT APPLICATION APPROVED OPERMIT APPLICATION DENIED ~//3~~~~ City Approval Date Applicant shall indemnify and forever hold harmless against the City of Coppell 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. a~ y ~ y .:: a, ~ ° ~ ~' Q ~ ~ II ~N ~ -t3 e aUi ~ ~ 'a N ~ ~ ~~ •~ ~ u c~J ~ G ~ ~ N -~ ~ ~ v ~' ~ ~ d ae ~~"1 ~„ W ~~ '~- ~'~ rl 4 0 ~ c~i ~ ~' ~ d dr ~ ~ ~ V ~ y p' ~ W ,~ cu p" p., v `". 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L_>!~L~ ~.~~?c!-~?__C~~1LS_r.~lt~_%1_~r~/_ Sc`~4-v~~~'~s___ Received Prom _ --- _ -~- A~~ rl' ~ ~"r{ ' ~r r irft i ~ '~-_._ _- --_-~ .a~~- ,a~~n~~l '--- ~ ~3y l~ City of Coppell Customer Copy Check No. - 63803 nats~ Hillwood Construction Services Stub 1 of 1 Check Date- 11/30/2006 InyoiceNumber Date - Description ;; _-..Gross Amount Deductions Amount Paid'' 113006.2398.00 11/30/2006 Permit Fee 2,398.00 2,398.00 2,398.00 2,398.00 BANK ONE, N.A. Check No. 00063803 Hillwood Construction Services, L.P. DALLAS, TEXAS Three Lincoln Centre 5430 LBJ Freeway, Suite 800 Dallas, Texas 75240 (972) 201-2800 Date Amount 17$167 11/30/2006 $"""""2,398.00 _ Void If Not Cashed in 90 Days TWO THOUSAND THREE HUNDRED NINETY EIGHT AND 00/100"'"""""""" ""'""'""""""'""'" DOLLARS Pay To The Order Of: City of Coppell PO B 947 8 ~_ _ ox y ll TX 75019 Cop BY ~~ -~ ~ ~=-`~C~' pe - . _„ THORI ED SIGNATURE U C (~ ~ V ~ .D C .~ ~ va ~ '~ 0 w 5 0 ~ •p ~ O ~ 3 ~ a s y ~ C C`J C _ ~ o ~ ,~ r' `a ~ _ ~ ti k N N ~ ~~N O~~N~ ~~~~ O U c pEp 3 ~ L1 a ~~ =~N= 01 :~ ~~ O V ~ n, ,~ o c fy'` ~ ~ o ~ ti ~' ~ ~ v^ a tl v~ Q 1 ~ ~ ~ •~z Ug O a T~~/~ H rrV/ ~ z w V/ ~ U U 4 w ~~ w z w ~~~ LL' U U m C t Q _~ a a o G y :. Q y e ~ z ~ '~ a W ~ ~ .~ ~ ~s 0 V ~ ~. O -C O ~ ,c n vM. 1 ` ~ ti ti ~ v, ~~ ~ 1 N C O O O ~ Z Q ~ O ~ Z ~/ ~ f ~ V V O ~ Q ~a ~a ` r~ ~~ ~~^ r ~~ ~~ N 0~0 ~ ~ o U ~ N ~ roar X r rLL~ 9o .c > h ~ ~ ~ N l1 O) m i ~ 3 '~ ~ ~ r ~ Qv U m O t ~ ~ ~Na U N r LL ~ m O '- E d' °~ W O v' O ~` `j ~ ~/`. 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