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-� �- � -�� � - �" "�"" C1TY�OF ZEPHYRHlLtS —�BUILDlNG DEPARTMENT � ' <br /> ' ` RIGHT-C?F-WAY USE PERM(T <br /> ��t�F-S rr � � ���� Z <br /> DATE: � � � I � l .L� S�`4 PERMiT #: �LL�!"_� <br /> No construction under g:ounci or above ground of any facElfty shail be accomplished on any City Rights of Way without written approval fram the City Buiiding <br /> Department. Any applipfian for approval of construction operations on any City owned Rights of Way shati fumish a detailed draw[ng showing the complete <br /> scope af the propnsed work in tripiicate tn t3'ie office af the Building Officiai for approval prior to the commencesnen# of any wor[c. A copy of this perm(t is to be <br /> kept readiiy availabte at the site of the work af all Umes. <br /> PARGEL ID#: ��' 2 ` �•'i/^DbdO —�/9oa—ooyo CI ROqp cs�`'`�N /QVF.��6 <br /> LOCATiON (Lega] Description): <br /> ���er,e,�,ws I7►�t/r4/P�Z� R�iisPi,eT-- ��u.ar� Rce�ss Da�vE <br /> Permission is hereby granted to of <br /> For the consiruction and maintenance af: <br /> SE�cs�c�� ��SS p�4V� RT 1lfE �PdY�/utt �rc.�iGi/,4c �iRP.�eT <br /> Subject to the following conditions: <br /> 1. The cor�struction and maintenance of such utility shaB not interfere with the property and �ights of a prior occupant. <br /> 2. AII work shali he done in keeping with the standards of the City Stree#s Qepartment and under the supewision af the Clty Building Offlcial, who <br /> will be notified at least one day prior to commertcernent of canstrudion. <br /> 3. Atl materials and �uipmeflt shall be subject to inspection by the City Suikding Otfidai. <br /> 4. Ruring construction all safiety regulations af the Department of Transportatian shatl be obseroed and the City shali be refiaved nf a(i responsfbiiity <br /> from damage of any nature arising irom this permif. Subject ta the same terms and c�nditlons, the permit holder may take such safety measures, <br /> including piacing and display of qution signs, as it may daem necessary In cos�duct of construc.tion and mafrrtenance work hereunder. It is ti�e <br /> responssbilriy of the �mlttee to ???? <br /> 5, Alf private and ali City property shali be rastored to its ortginal condition as far as pracdcal in the opi�ion of the City Suilding Otfidal. <br /> 6. A!I undarground cxnssing instatlatlons shall be laid at such depth as may be specffied by the City Butlding Oificial. <br /> 7. The sketch covering the detatis of ttiis instailatlon shall be made a part of this pertnit. T'h�s permit is granted wtth the understanding that the <br /> applicant has notshed ail other uFitity users in the area covered by Use p�mit and takes full responsibility for arry damage incurred by prior <br /> instaUations as a resutt of his operations in order that they may safe guard their inte�esfs. <br /> 8. !t is express3y stipuiated tF�t this permit ts a lice�se for peRnissive use oniy 8nd that the plactng of facalities upon pubiic property pursuant to this <br /> pennit shall not operate to cxeate or #o vest any propet#y rignt in said halder. <br /> 9. Wtienever the City decides tn furiher exploit the City Rights of Way, arry or al[ said poies, wires, plpes, cabies, or other iacilities and <br /> appurtenances authortzed hereunder, shall be immediatefy removed from said i2ights of Way, ar reset or relocated thereon as requi� by the <br /> City Suiiding Officia{ at the e�ense of the holder o# thts permit. <br /> 10. The hoider shall save and keap tfie City harmless irom any and a[I damages, claims, or injuries that may occxtr by reason ot the construction, <br /> maintenance, and operation of said fadiity. <br /> 11. The hoider shali c�mplete the requesteci work within days or this permEt shall becams null and void. In the event the work requested is <br /> not «�mpfeted upon the expiration date of this permit, the City shafi have tha right io camplete such wark and tfl c�arge the hoider of the pemtit <br /> for ail costs incurrai in campleted said worlc. <br /> 12. 7he hokier shalf post a cash or surety Dond with ttte Ctty Manager in the sum of $ doUars to gtl�arantee petfnrtnance of Yhe <br /> abligations herein, ar�l to g�rantee maintenance of the right-of-way descxibed herein for a period af one (1) year following completion af 4he <br /> requasted instalta6on. In ri�e svent a surety bond is posted, the swety bond shail be made payabte to the City and shafl obligate the surety to <br /> hold the City hatmless in the event ths holder of this permif shoutd taii to meet any of its obligatfons hereuunder. Tfie bond shali akso indemnify <br /> the Clty for all court cosis and reasanable attomeys fees in the event tegal action is required to croliect on said bond. <br /> SUBMITTED BY: <br /> (PERMtITEE) �S f.N✓�RWU �tT RE�Eyiq�oN Z�ra . <br /> 5ignature �Title • �b�zw /� �2 <br /> Address /a0 E• 1'�''�K� SR /gW0 TR�+pA� fL 33l,03 <br /> APPR4VEU BY: <br /> C1TY OF ZEPHYRfi1LLS <br /> Suilding Ufficiaf _� Date <br /> lJtilities 5upervisor,_„ Date ���� �� <br /> Public Works � Date l ILl Y! —"' ER SL'E7��l� ,f�/�, <br /> City Manager ��-- Date [ � <br />