Deforest Court-PT060731T H E •C 1 T Y •O F
s
Project Address:
Utility Company Represented:
19e re5.74_ C7
COPPELL
I COPY
General Contractor: Ntu.� //0.60 45
IGHT -OF -WAY USE PERMIT
APPLICATION
For
SERVICE DROPS ONLY
Submit permit application to the Engineering Dept., Town Center, 255 Parkway Blvd.
Address:
Date of Submittal: r1 2/7/0()06;
3,zzKellu)ur D
irrcV/ /,,t j TX
Permit issued to Company Representative: L'i av /e5 Mori/ 5
Telephone (2 238 -24.13 2._ Emergency Telephone (2i4) 'p 201.E eel/
L TXU Electric Delivery Co. 1 Atmos Energy (formerly TXU Gas) Verizon (l SBC Communications
1 J Comcast Cable 1 CoSery Comm. 1 CoSery Elect. 1 1 Other
If "Other" is checked, please note that franchise or right -of -way use agreements will be required and need
Council approval prior to beginning work. Permit cannot be approved until that time.
General Description of Work bore u4r1 �r ie5>L6 610 72,4 �i/d 7;7 t/rf
Was contact made with City and /or utility companies to locate existing utilities?
if L\O, Reason: YES (l NO
Is removal of existing streets, alleys, or sidewalks necessary? YES NO
if YES, must have City inspection prior to concrete replacement
Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which
includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at
the applicants expense) 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 (grading, drainage,
vegetation, and erosion control).
Any excavation requiring closing of a street /alley must be reported prior to closing to the following:
Police Department 972 -304 -3600 Fire Department 972- 304 -3500
Street Department Q 972 -462 -5150 Engineering Department Q 972- 304 -3679
Attach barricade plan trench safety plan if a lane or street closure is required.
NOTE: Street closures are allowed from 9:00 a.m. until 3:00 p.m. D:\LY unless otherwise approved by City Engineer.
Attach Work Order (franchise only).
Contact must be made with City and utility companies to locate existing utilities -18 hours prior to beginning of work.
6/a-g.( /wike
,::cure of Contractor Repr _entative Printed Name D to
4 4/ 1 4
S:g71,1:ur of City Representative Printed Name Date
I....oCO21 Pr U 'c i6es le 6c Inca
�n T i6 r ea.
C WO(' Sahel
DEFORST RD
7
GRouND
L
N
ANY Qut
M 4KE GRr\Y
AT Or/2)-5\8-3457