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AboveNet-PT081003
o A copy of the approved permit must be on the job site at all times. CC: Applicant 91iilJD)fij)~Mn:L HE. C I T Y . 0 F Publi~ W.orks mlrrlnltW\7 IbULO PPELL Permit File 4L~' 'o~~,.1l :.lJt Orig. to Project File t x 1\ s~ Page 1 of 4 Rev. 11/07 10-01-0 8P01 :27 RCVD RIGHT-Of-WAY USE PERMIT APPLICATION Permit valid for 90 calendar days from date of approval Submit permit application to the Engineering Dept., Town Center, 255 Parkway Blvd. Date of Submittal: c;t:!;: -/-zma Applicant's Job # / Work Order # PERMIT FEE: $100.00 (No charge to Utility Companies with approved Franchise/ROW Use Agreement) Refer to the City of Coppell Ordinance No. 2001-944. Certificated Telecom Provider? Y N D Plans provided and approved (Erosion Control/safety fences must be installed prior to beginning work) Project Name / Location: a;<./???;4/' ~AfP RtJ/lO General Contractor: mrUIZ6 'feLeerJM Contact # '2'/4-9017.09/0 Utility Company Represented: o Oncor Electric Delivery o Time Warner Cable o Atmos Energy o CoServ Electric/Gas o Verizon 0 SBC/ AT&T IEf' Other ,4!301GJJer Coml71. General Description of Work (provide fOUi/:/ sets of plans): In accordance with Ord. No. 2001-944. Latp~ €XISi?Nb v'O/;VT ItA) C-oI-IW/,/ .. ~k/ no'p03t=[? ~/C7LM<geldee. ON t?8/7?JN 121,0/ I&~IJ. .)OINI Call-O rC&,.IJeoVeJc=( Estimated Start Date Gl::f:-b-t::I$ Estimated Completion Date* t;br- /~-o2;:J * Completion requires submittal of Completion Verification Notice (see page 4) ~ Was contact made with City and/or utility companies to locate existing utilities? ---../' if NO, Reason: YES ~ ~ Is removal of existing streets, alleys, or sidewalks necessary? if YES, must have City inspection prior to concrete replacement YESD NOD NO~ Right-of-Way Use Permit Application Page 2 of 4 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 Unifonn 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). To schedule Public Works final inspection (Page 4) call 972-462-5155. ~ 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 @ 972-462-5150 Engineering Department @ 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. ONLY unless otherwise approved by City Engineer. ~ Attach Work Order (franchise only) and/or 4 sets of prints showing proposed work. Contacts must be made to locate existing utilities 48 hours prior to beginning work. (Application with original signatures should be submitted to the Engineering Department before approval.) 4ZL~ Signature of Utility Company Representative ~l~~ ~la!Lle' Printed Name /O'/-'Zo;Jg, Date me to~ \-ZODg Date J'1iMtN- t. ~ Signature of City Representative l>,WA AlA/it e. I.3ArK./tls Printed Name /0.03.0 ~ Date ~ Comments: !hDINF'I fi.,tFftt C4f1/11u>~ PlAN 7) U~ 'f'o NIt'" -of- ~/,^' $PIrCIN;. ,rI PlWfItJ TIfP IF 1'$;MeNr W,U DE. /)jj1u~e-P i NlII~f lDltlflrt-r t/fI'y1f; v8e4H &t2U6vt fiu 1~~LAt:6~.I5IVr. I ~ NOTE: Notify City Inspector at 972-304-3679 prior to bef(inninf( work and prior to backfill for concrete, trench, ditch and open pit inspections. Backfill must meet all construction standards approved by the City of Coppell. 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