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DATE:~'1ID7 3/',,;).'3- 7PFA-OIf-:S' . No construction under ground or above gl'ol1l1d of any facility shall be Accomplished on any City Rights ofWayw~thout written approv~ from th~ Ci Bulldin De artment. Any application for approval of construction operations on any City owned Rights of Way sballiUmish a detalled drawmg Ibow~g th~complllteg sco:e of the proposed worlt in triplicate to the otTlCe of the Building Official for approval prior to the commencement of any work. A copy of tillS permit is to b~ ltept readily available at the lite of the work at all timel. ~ CITY ROAD DATE 6. 7$ PARCELLD.# CITY OF ZEPHYRlIILLS - BUll.,DlNG DEPARTMENT RIGHT-OF-WAY USE PERMIT PERMIT# &//,) LOCATION (Legal Delcrlpllon) : A 50 v<.-fh Permiasion is hereby grll.l1ted to V ~~Al of FLOfrgf} [j ~ I h fortheconstrudion and maintenance of ex. IIN}I HnpE: WJFtJG (5) 01' /'.J-J'aV1CI. J ()r.Jl. tJtV7. ldr" "77T.Jlnt:' subject to the following conditions: II, 1. The cOl1Bh'Uction and maintenance of IUch utility shall not interfere with the property and rights of a prior tA 2. Allwurk shall be done in keeping willi the standardl of the City Streets Department and undcr the supcrv n l~ Building Official will be notified at least one day prior to commencement of construction. ~ 3. All materials and e1luipment IbaIl be subject to inBl,ection by the City Building OfficiaL ~ .. D....' _"""... .. p...., R........ .,... "".......... .'T_p.....'....""" .. ,'''nod ... ... CI , ,. n,' .,.. responsibility from damage of any nature arising from this permit. Subject to the lame terms and conditions, the pennit ho er may tllIte such safety measu including placing and display of caution sIgns, al it may deem DeCellary in conduct of construl:tion and maintenance work here . the permil1ee to place, mahttain, and supervise all traffic control and, devices. 5. "All prIvate and all City propedy shall be restored to itl original condition lIB far III practical in lI,e opinIon of the (";... ~ g _..~11Uo . - G. AU undergl'ound crossing inBtaUa~onsshall be laid at such depth al may be specified by the City Buildllllg OfficiaL 7. The sketch covering the details of ~ inBtaUation lhall be made a part of this lle~mit. This permit Is __ ..... lue understandhlg that lhe applicant has notified all ollulr utility DIers in the area covered by the permit and takel full responsibillty for any damage hlCurred by llrior inBtallations as a result of bis operations in order that they may lale guard their Interests. ' , - 8. It Is expressly stipulated liaat this permit is a lleense fur permissive use oniy and that the, placing of facilities upon public property pursuant to this permit shall not operate to create or to vest any property right in said holder. 9. Whenever the City decides to furlbel' exploit the City Rights of Way, any or aU laid poles, wires. pipes, cables, or other facilities and appurtenances authorized hereunder, shaU be lnlmedlately removed from laid Rights of Way, or reset or relocated thereon III required by the City Building Official at 1I1e expense of the holder of tlus penn,U. i . 10. The bolder Ihalllave Il.1ld lteep tbp City bnrmless from any and aU damages, claims, or injuries that may occur by reason of the construction, maintenll.1lce, and operation of said facility.: ' 11. The holder sball comlllete th~ req~ested work within 1 2..0 da)'s or this permit s~aIl become nuiland void. In the event 1I1e wllrk requested is not coml,leted upon the expiration date of this permit, the City Ihall bnve the rIght to eomlllete lucb work and to charge the holder of the permit for all costl incurred in completing Bald wor!.. " 12. The holder shall post a cash or lufety bond with the City Manager In' the sum of ~ d"Uars to guarantee performance of Ibe obligations bel'em, and to guarantee maintenance of the r~t-of-way delcribed herein for a period of one event a surety bond is posted, the sm"ety bood Ibjill be made payable to the City and IbaIl obligate tile .urety to hold the City harmless in the even~ the holder of this permit should fall to meet any of Us obligatwns hereunder. The bond Ihallalso Indemnify the City for all court coats and reasonable al1orney'. fee. in the event legal action is required to collect on said bond. . 13. The l'ermil1ee shall have a 24 ho~r emergency contact name and nwnber listed below. SOBMITIEDBY: . (pennlttee) Address .. APPROVED BY: CITY OF ZEPHYRHILLS ~l u""... s....~. Uate: Public Works Date: I ~; /lfif' . -0 I JlC!I?I'l