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Permit Applications
Utility Permit Application
Utility Permit Application
Utility Permit Application
This is a Utility Permit Application for telecommunications, electric, and gas utilities. The applicant agrees to comply with the following permit requirements. The City reserves the right to inspect and approve any construction work performed within its right-of-way as it relates to the condition of the streets; compliance shall be determined by the sole discretion of the Public Works Director or designee. These requirements shall apply unless waived in writing, due to unique local conditions, by the Public Works Director prior to installation; any such waiver shall be attached to the permit. This permit is not intended to conflict with any utility owner's rights or duties mandated by the City of Webster City, Iowa Utility Board or other state or federal regulations.
Applicant Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
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Lesotho
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Libya
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Mali
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Mauritius
Mayotte
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Mozambique
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Nauru
Nepal
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New Zealand
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Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
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Serbia
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Sierra Leone
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South Georgia
South Korea
South Sudan
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Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
Contact Person
First
Last
Brief Description (type, facility, location)
1. Location Plan. An applicant shall file a completed location plan as an attachment to this Utility Permit Application. The location plan shall set forth the location of the proposed line on the street right-of-way and include a description of the proposed installation.
2. Notice to Proceed. At least two (2) working days prior to the proposed installation, an applicant shall file with the Public Works Director a notice stating the time, date, location, and nature of the proposed installation.
3. Requirements. The applicant shall meet the following requirements: A. Construction signing shall comply with the Manual on Uniform Traffic Control Devices. The permit holder will be held responsible for any accidents occurring in the work zone due to their negligence. B. The applicable provisions of following City's Municipal Code Chapters; Chapter 42, Article XII and/or Exhibit B Construction Procedures, Chapter 24, Article III Gas Franchise, and Chapter 10 Article IV SUDAS will govern utility facilities in the right-of-way. C. All drainage tile line locations encountered during construction shall be protected and repaired. D. No underground utility lines shall cross over a driveway or cross street drainage structure. E. Residents along the utility route shall have uninterrupted access to the public street. An all-weather access shall be maintained for residents adjacent to the project. F. A joint assessment of the street surfacing may be made by the applicant and the Public Works Director both before and after construction. At a minimum, the top 1 foot of backfill shall consist of crushed stone. After construction, surface restoration to the street is at the applicant's cost, if necessary, to restore the street to its original condition. After surfacing has been applied, the street surface may be jointly reviewed by the Public Work Director and the applicant once the street has been restored, to determine if additional work on the street by the applicant is necessary. G. Areas within the street R.O.W. or easement damaged by the installation shall be repaired and restored to at least its former condition by the applicant or the cost of the repair work caused to be performed by the City will be assessed against the applicant. H. Areas disturbed during construction which create an erosion problem shall be solved by the applicant in a manner approved by the Public Work Director. I. All trenches, excavations, and utilities that are knifed shall be properly tamped.
4. Non-conforming Work. The Public Work Director may halt the installation at any time if the applicant's work does not meet the requirements set forth in this Utility Permit.
5. Emergency Work. In emergency situations, work may be initiated by an applicant without first obtaining a Utility Permit. However, the City shall be notified via telephone or FAX as soon as possible and a Utility Permit must be requested within five (5) days of initiation of the work. All emergency work shall be done in conformity with the provisions of this permit and may be inspected for full compliance.
6. City Infraction. Violation of this permit is a Municipal infraction under Municipal Code Chapter I sec. 1-16 Infractions, punishable by a civil penalty for each violation.
7. Hold Harmless. The utility company shall save this City harmless from any damages resulting from the negligence of the applicant. A copy of a certificate of insurance naming the City as an additional insured for the permit work or proof of self-insurance shall be provided to the Public Work Director prior to installation. The minimum limits of liability under the insurance policy or proof of self-insurance shall be $1,000,000.
8. Permit Required. No applicant shall install any lines unless such applicant has obtained a Utility Permit from the Public Works Director. Applicants agree to hold the City free from liability for all damage to applicant's property which occurs proximately as a result of the applicant's failure to comply with said ordinances or requirements.
9. Relocation. The applicant shall, at any time subsequent to installation of utility lines, at the applicant's own expense, relocate or remove such lines as may become necessary to conform to new grades, alignment or widening of R.O.W. resulting from maintenance or construction operations for street improvements.
10. Term of Permit. In accordance with Section 320.S of the Code of Iowa, applicable gas mains and communication lines mains shall be granted a permit for a period not to exceed applicable franchise agreement. At the end of the term, if neither of the party objects in writing, the permit will automatically renew itself.
11. The contractor shall notify Iowa One Call at 1-800-292-8989 at least 48 hours prior to work and protect existing utilities. The contractor is responsible for any damages as a result of their work in the right-of-way.
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Authorized Agent
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Last
Email
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