Windsor Estates-PT090413
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Permit File
Orig. to Pr.oject File "*
Page 1 of 4
04-10-09A10:47 RCVD
.... 8
RIGHT-Of-WAY USE PERMIT APPLICATION
Permit validfor 90 calendar days from date of approval
Submit permit application to the Engineering Dept., Town Center, 255 Parkway Blvd.
Date of Submittal: 'i-IO'~7 Applicant's Job # / Work Order # 1P;;~?l:>157t02(,
PERMIT FEE: $100.00
(No charge to Utility Companies with approved Franchise/ROW Use Agreement)
License Agreement Approved (date) / / Certificated Telecom Provider? @ N
D Plans provided and approved
(Erosion Control/safety fences must be installed prior to beginning work)
Project Name / Location: ~/ 3 Hi 7A-nI~
General Contractor: .
Permit issued to Company / Representative:
Address: D c ~ ~ r.
Telephone #: lJ'J1... ~/Y~) 15'~ Emergency Telephone #: 1...1'1 1./-37 -IOt:j()
Utility Company Represented:
D TXU Electric Delivery Co. D Atmos Energy (formerly TXU Gas) E:(Verizon 0 SBC 0 ComCast Cable
D AT&T Local Services 0 GralldeCom (formerly CoServ) 0 CoSen' Electric/Gas 0 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 {vrovidefour (4l sets of plans):
(,/~ .if. ~ ~ 5(/ ~ ~ ~ ~ //X/2##
fl~ /. ::l~" 7)llcr a/ g~ {r lJ.c.p1-tt
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Estimated Start Date 1-- It; .- tJ 9 Estimated Completion Date* 6- ((, -~ 7
* Completion requires submittal of Completion Verification Notice (see page 4)
> Was contact made "vith City and/or utility companies to locate existing utilities?
if NO, Reason: YESg
> Is removal of existing streets, alleys, or sidewalks necessary? YES 0
if YES, must have City inspection prior to concrete replacement
NoD
NOQ-
..; .~ight-of- Way Use Permit Application Page 2 of 4
Revised 06/03
Representative(s) of the Contractor must adhere to all construction standards approved by the City of CopieR, 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.
~ 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 onl ,) and/or 3 sets of
(Application with original signatures needs to be submitted to the Engineering Department before approval.)
S'
any Representative
.J"AS.r,.; AfeIl...kll\.4-^/
Printed Name
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Date
G%nt~;:'~Y
tf-t#-d7
Date
. nf City Representative
M\~ ~'ZA--
Printed Name
~'Ic)~
Date
~ Comments:
~ NOTE: Notifv Citv 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.)
Applicant shal! indemnify and forever hold harmless against the City of Coppel! 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 pom the City,
if such permit is granted.
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City of Coppell
Page 1 of2
City of Coppell
Sanitarv_Cleanout Storm_Fitting Hydrants_Private County Line
:... .- lil :County Line
Sanitary_LiftStation Storm_Junction Box Railroad
0 QI Water_Feature ERailroad
Sanitary_Fitting Storm_Inlet r.}YDRANT Building
. 0: e;:VAlVE t:JBuilding
Sanitary_Manhole Storm Outfall (gFlTTING t:FUTURE
:0: W IcO: CROSS Parcel
Sanitary_Valve Storm_Channel [t1TEE E1Parcel
2 .... Parl<
EVAUlT C
Sa nitary _Junction Box Storm_Main_Rep
.: SMain Water_Private Aerial
51
Sanitary_Main_Rep tEBox _Red: Band 1
Water_Main
EAbandoned ~Culvert =water Main _Green: Band_2
e<:ollector ~Private EIrrigation .Blue: Band_3
EPrivate :Lateral Water_Abandoned
:Force :!tAbandoned i':;Rule_l
;!!Service Storm_Rip Rap Streets
:!:Interceptor 0 eStreet.
Storm_Manhole Storm - weir_Structure City Limit
.: &:I !:City Lim;t
http://englutil/
4/10/2009