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y <br /> CITY OF ZEPHYRK[LLS-BUILDING DEPARTMENT <br /> DATE: 12f1512020 RIGHT-OF-WAY USE PERMIT PERMIT# <br /> —)—&J <br /> No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the <br /> City Building Department.Any application for it provai orconstruction operations on any City owned Rights of Way shall furnish a detailed dratiing <br /> showing the complete scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any work A <br /> copy of this permit is to be kept readily available at the site of the work at all times. <br /> PARCEL LD.9 24-2621-00004)0100-0180 CITY ROAD COPELAND DR <br /> DATE <br /> LOCATION(Legal Description): <br /> COM AT NW COR SECTION 24 TH N8 9DG 48'05"E ALG NORTH DDY OF NW114 OF SECTION 24 885.58 FT TH S25DG 26' <br /> 35"E 1881.22 FT F OR POO TH NELY 39.27 FT ALG AR C OF CV RIGHT RAD 25.00 FT.CHD N19DO 33'25"E 35.36 FT TH <br /> ASS E— <br /> Permission is hereby granted to of <br /> for the construction and maintenance of- <br /> subject to the following conditions: <br /> 1. The construction and maintenance of such utility shall not interferewith the property and rights of a prior occupant. <br /> 2. Ail work shall be done in keeping with the standards of the City Streets Department and under the supervision of the tatty Building Official,who <br /> will be notified at least one day prior to commencement of construction. <br /> 3. All materials and equipment shall be subject to inspection by the City Building OfficiaL <br /> 4. During construction all safety regulations of the Department ofTransportation shell benbserved and the City shall he relieved of all <br /> responsibility from damage of any nature arising from this permit Subject to the same terms and conditions,the permit holder may take such safety <br /> treasures,including placing and display of caution signs,as it may deem necessary in conduct of coustractipn and maintenance work hereunder.It is the <br /> responsibility of the permittee to M? <br /> S. Ali private and all City properly shall be restored to its original condition as far as practical in the opinion ofthe City Building Official. <br /> 6. All underground crossing installations shall be laid at such depth as maybe specified by the City Building Official <br /> 7. The sketch covering the details of this installation shall be made a part of this permit.This permit is granted with the understanding that the <br /> applicant has notified all other utility users in the area covered bythe permit and takes fail responsibilty for any damage incurred by prior installations as a <br /> result of his operations in order that they may safe guard their interests. <br /> & It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public properly pursuant to <br /> this permit shall not operate to create or to vest any property right in said holder. <br /> 9. Whenever the City decides to farther exploit the City Rights of Way,any or all said poles,wires,pipes,cables,or other facilities and , <br /> appurtenances authorized hereunder,shall be immediately removed from said Rights of Way,or reset or relocated thereon as required by the City Building <br /> Official at the expense of the holder of this permit <br /> 10.The holder shall save and keep the City harmless from any and all damages,claims,or injuries that may occur by reason of the construction, <br /> maintenance,and operation of said foality. <br /> 11.The holder shall complete the requested work within days or this permit shall become moll and void.In the event the work <br /> requested is not completed upon the expiration date of this permit,the City shall have the right to complete such work and to charge the holder of the permit. <br /> for all costs incurred in completing said work. <br /> 12.The holder shell post a cash or sorely band with the City Manager in the sum of$ doltars to goamotee performance of the <br /> obligations herein,and to guarantee maintenance of therigbt-of,--way described herein for a period of one(1)year following completion of the requested' <br /> installation.In the event a surety bond is posted,the surety bond shalt be made payable to the City and shalt obligate the surety to hold the City harmless in <br /> the event the holder of this permit should fail to meet any of its obligations hereunder.The bond shall also indemnify the City for all court casts and <br /> reasonable attorneys fees in the event legal action is rrtgoired to collect on said bond. <br /> SUBMTITED BYt <br /> ` 1 <br /> (Permittee) Y� v►{ * <br /> Signature&Title Wail <br /> — fttgi nd<-n V'Ng MaKo-5"i''e— <br /> Address �� 2 �7 o h 1A tT' S+e c 1 t W .✓/3'3 t�01 <br /> APPROVED BY: <br /> CITY OF ZEPHYRMLLS <br /> Building Official <br /> Date: <br /> Utilities 3"pervisor <br /> Date: ',1i y�y �y� �y's j�y���®�� �,^,'Q� t <br /> PubiicWorks /-( y R f-OTT ��'9C6 -4U— 't/Ldl�+i �G'ir i <br /> DAtC <br /> City Manager <br /> Date: <br />