Braewood North-CS080107
.
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THE.CITY.OF
'11 B-Jd:}L,
EARLY GRADING / EXCA V A TION PERMIT
IN
RIGHT-OF-WAY / EASEMENT / PRIVATE PROPERTY
Date: 1/4/ Zo01
.
o Grading plans provided and approved.
(Erosion Control must be installed prior to beginning work.)
o Tree Removal Permit from Parks & Recreation Dept. required.
o Hold Harmless Letter from the Property Owner/Engineer/Developer is attached.
Project Name/Location:
jh~ <:sA~tes '''2.~ S~6 L,e."'-c... ~
<.~~l~ ~..h~~"" ~ "!AJc....
, .
General Contractor:
Permit issued to Company/Representative: ~~~ bl.4.-.l\ I ~l"l...~ ~'-"'-~
Address: ~3o>t ~,^-~-C..c..(""""+ \ri.~~
Telephone #: tl4.~;c. - ~2..+1 Emergency Telephone #: "l..l""- c..,?-~~e,o
General Description of work (provide copy of approved plans):
~k ixCA.\l&..-lt\;::N ... <:Sll.A.l,~
> Was contact made with City and/or Utility Companies to locate existing utilities?
({ NO, Reason:
[;a' YES 0 NO
>- Was contact made with Parks & Recreation Dept. concerning Tree Removal Permit?
If NO, Reason:
~YES 0 NO
DYES Ga NO
);> Is removal of existing street, alleys, or sidewalks necessary?
if YES, Attach Bore/Street Cui/Saw Cut Permit
,. Is Floodplain Permit required?
DYES @NO
if YES, Permit #
or date of City Council variance
Early Grading / Excavation Permit
Page 2
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 will be required at the applicant's expense), Tree Ordinance and
barricading according to the Texas Manual on Uniform Traffic Control Devices. A rea (s)
affected must be restored to as good condition as before the commencement of work
(grading, drainage, vegetation, and erosion control).
> 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 @ 972-304-3600
Fire Department @ 972-304-3500
Street Department @ 972-462-5150
Engineering Department @ 972-304-3679
" Attach barricade plan / trench safety plan of a lane or street closure is required.
Note: Street closures are allowed from 9:00 a.m. until 4:00 p.m. ONLY unless
otherwise approved by City Engineer.
);- A 2% inspection fee for grading is required prior to beginning work.
(Attach copy of excavation contract for verification)
[ Amount Paid $ "700.0"
Date Paid ~__ / L.'
/ D8
.:. City inspector must be notified 24 hours prior to beginning work related to this
permit.
~~
Signature of Applicant/Contractor Rep.
~ '':. g",... \\
Printed Name
, /1/ I "10 -f
Date
~
Signature of.:ti!!i!l!r Engineer
M,v~1... (;Aq'1..A
Printed Name
I l' h..Cb~
Date
P.1...9E('2...\ ~~ANI~u
City Inspector for this project
'-ill" - ~1(" - j\..65
Contact Number(s)
,4pplicant 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.
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--------------~.::~:.JI~----~---~~-5464'1
NATIONAL BANK ,I
C.R. BUELL CONSTRUCTION CO., INC. 2~~~i5~:5J;'
3308 SHORE CREST DRIVE
DALLAS, TEXAS 75235
32-104-1110
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PAY TO THE
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$ 100..-~
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