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TH E'CITY.OF
COPPELL
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UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT
COMPLETION VERIFICATION NOTICE
Contact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection
with Utility & Streets personnel to verify that your project has been completed to City of
Coppell specifications. Failure to schedule verification inspection may delay future projects.
Franchise Utility Name
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Project Location / Applicant's Work Order # (if applicable)
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PA~ St'./ 1C
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Sub-contractor Company Name R.d~ -:p~ (.
24 hr.Contact Number t../~9. ~4t.,:135:L
Date of Verification Appointment / J. -I) '~f.?
,
Time of Verification Appointment I : 30 ftWl .
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INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL
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... nspecte ~ ,/ ;-I--cJwcJL oJ utlltles l1',lamtenance lVlSlOn on y r t.- -G/ c.. ,
.:. Inspected by
Follow-up scheduled for
of Streets Maintenance Division on
and found to be acceptable / not acceptable because
Follow-up needed? NO / YES
Follow-up scheduled for
A copy of this completed notice is to be provided to:
City of Coppell Engineering Dept.
255 Parkway Blvd., Coppell TX 75019
Office: 972-304-3679 Fax: 972-304-3570