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ROW Completion NoticeT H r C ! T Y 0 Ir UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT Page 4 of 4 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 Project Location / Applicant's Work Order # (if applicable) Sub-contractor Company Name 24 hr. Contact Number Date of Verification Appointment Time of Verification Appointment INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PERSONNEL · :, Inspected by of Utilities Maintenance Division on and found to be acceptable / not acceptable because Follow-up needed? NO / YES Follow-up scheduled for · :, Inspectedby 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 Coppeli Engineering Dept. 255 Parkway Blvd., Coppell TX 75019 Office: 972-304-3679 Fax: 972-304-3570