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, � � ""�`��+ti�--�-�u`-" C1TY�F-ZEPHYRWILL`S��="Bl11LDING�DEP;4RTI1/IENT � RIGHT-OF-WAY USE PERMIT � DATE: �� r� PERMIT#: � � "" v ( ' ' No construction Inder ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the City Buiiding Departrnent. Any application for approval of construction operations on any City owned Rights df Way shall fumish a detailed dr2wing showing the complete scope of the proposed work in tripiicate to the office of the Building Official for approval prior to the commencement of any work. A copy of this permit is to be kept readily available at the site of the work at ali times. PARCEL ID#: `� o�� o�� (o CITY ROAD 1'7 t..S='�l �"1'��. ' , LOCATION.(Legal Description): ' � �� s�.� �- A L�-�� R�� . �� . . ,; , �H�. D ��Y'� A F': i ; � , � Permission is�hereby granted to of For the constr ction and maintenance of: � � i� ,�P� c�r-�� .�c��' ' � . - , , Subject to the�following conditions 1. T e construction and maintenance ofi such utility shall not interfere with the properry and rights of a prior occupant. 2. AI�work shall be done in keeping with the standards of the City Streets Departrnent and under the supervision of the City Building Official,who v�n I be notified at least one day prior to commencement of construction. i 3. AI)materials and equipment shall be subject to inspection by fhe Ci1y Building Official. � �4. During construction all safety regulations of the Departrnent of Transportation shall be observed and the City shall be relieved of all responsibilily frqm damage o�any nature arising from this permit Subject to the same terms and conditions,the permit holder may take such safety.measures, in luding placing and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereunder. It is ttie �r�ponsibility of the permittee to???? , 5. � AI�private and ali City properly shall be restored to its originai condition as far as practical in the opinion of the Ciry Building Official. � 6. AIM underground crossing instailations shall be laid at such depth as may be specfied by the City.Building Offlcial. 7. TF�e sketch covering the detaits of this installation shall be made"a part of this permit This permit�is granted with the:understanding that tlie applicant has notified ali other utility users in the area covered by-the permit and takes fuli responsibility for any damage incurred•by prior in�taltations as a result of his operations in order that they may safe guard their interests. ' 8. It,�s expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to this pgrmlt shall not operate to create or to vest any property right in said holder. , 9. Wihenever the City decides to further exploit the Clty Rights of Way, any or all said poles, wires, pipes, cables, or other facilities and aRpurtenances authorized hereunder,shall be immediately removed from said Rights of Way, or reset or relocated thereon as required by the ' C�ty Building Official at the expense of the holder of this permit. � 1D. T e holder shall save and keep the City harmless from any and all damages, claims, or injuries that may occur by reason of the.construction, m�intenance,and operation of said faality. , 11.� The holder shall complete the requested work within days or this permit shall become null and void. In the event the work requested is n t completed upon the expiration date of this permit;the Citiy shall have the right to complete such work and to charge the holder of the pemiit i fo all costs incurred in completed said work. ; 12. T e holder shall.post a cash or surety bond with the City Manager in the sum of$ dollars to guarantee pertormance of the of�ligations herein, and to guarantee maintenance of the right-of-way described herein for a period of one (1)year following completion of ttie re�quested installation. tn the event a surety bond is posted,the surety bond shall be made payable to the City and shall obligate the surety'to h01d the City harmless in the event the hoider of this permit should fail to meet any of its obligations hereunder. The bond shall also indemnify the City for all wurt costs and reasonable attomeys fees in the event legal action is required to collect on said bond. I SUBMITTED BY: i � . (PERMITTEE).��—� ��1'1`J�F�"SLL..S , ( I Signature 8�Title - � � � � � Address ` ' � APPROVED BY: � CITY OF ZEPHYRHILLS � , � o Building Official p�i Date � � � 2 lC� Utiiities Supervisl r � Date ��'� —�� - �� Public Works Date l�TJd.((� ��4UQ 0/��C°tJTs �t� i City Manager ��a'C " /If� Date • .� !�� I � I � _'"� ' .e __i .o� � �1 a�._.�.•�..�ri /D".i�.""„ , I �