Line Locate Form

201 East Nash
Terrell, TX 75160
972-551-6607
Fax: 972-551-6620
E-mail:  engineering@cityofterrell.org

 

Please fill out form completely. Hit "submit" below to electronically send the information. Printable version (PDF Format) of the application to FAX (Word Format)

All work to meet
TCSS and NCTCOGs Standards

(For Franchised Utility Companies and their Subcontractors) Markings:
Blue-Water,    Pink-Storm Water,     Green-Sanitary Sewer

Date
Pavement Cut? *	choose oneYes-there is a pavement cutNo-there is no pavemnt cut
Person Applying for Permit *
Email *
Project Location *
Reason for Work
Anticipated Start Date
Estimated Finish Date
Franchise Utility Information:
Franchised Utility Name *
Franchise Utility Representative
Emergency Phone No.
Subcontractor Information:
Subcontractor’s Name (if any)
Business Phone No. *
Subcontractor’s Representative
Emergency Phone No.
Verification:* you must enter the verification letters and numbers into the box on the right:
Note: Print page if you need a copy before submitting
* Required

Please fill out form completely. Hit "submit" below to electronically send the information. Printable version (PDF Format) of the application to FAX (Word Format)

Please fax this form to the City of Terrell Engineering Dept. at (972) 551-6620.