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RIGHT-OF-WAY (ROW)
USE PERMIT REQUESTS
BANNERS
INFORMATIONAL PACKET
Contents:
1. Right-of-Way Use Application for Banners (Form FE098) 1 page
2. Banner Detail (Form FE038) 1 page
3. Right-of-Way Use Application Notice to Applicant (Form FE189) 1 page
4. Hold Harmless Agreement (Form FE002) 1 page
5. General Conditions for Issuance of Right-of-Way (ROW) Use Banner
Permits (Form FE035 banners) 1 page
H:\FORMS\FE060.doc Page 1 of 1
Right-of-Way Use City of Auburn
Banner Application Engineering Division
Permit #:
Name of Organization:
Officer/Agent/Person Requesting Permit & Title:
Address:City/State/Zip:
Daytime Phone:Email:
Purpose of Banner:
Location Requested:Main Street:BNSF Rail Bridge:North Side:________
Date(s) Requested: South Side:________
The Department requires the name and daytime telephone numberof three (3) responsible persons, any of which
can be contacted at any time during the life of the permit in the event the need arises.
Name:Daytime Phone:( )
Name:Daytime Phone:( )
Name:Daytime Phone:( )
Date:
Signature of Applicant
Documents Required:
Permit Application Fee ($30.00)
Initialed Notice to Applicant
Signed Hold Harmless Agreement
NOTES AND/OR CONDITIONS
1) This permit does not constitute approval or compliance with the rules, regulations, or requirements of any other
jurisdiction, which may relate to the above project.
For all questions, contact Amber Mund at 253.804.3120 or email amund@auburnwa.gov
FE098
FE
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3
8
FE
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3
8
Right-of-Way Use Application
Notice to applicant
Right-of-Way Use Permit #_______________
1. Applicant acknowledges receipt of “General Conditions for issuance of Right-of-Way Use
Permits”
Applicant’s initials:_______________
2. Applicant acknowledges that Right-of-Way Use Permit application fees are non-refundable.
Applicant’s initials:_______________
3. Applicant is responsible for planning in advance of the requested permit to allow sufficient
time for City review and determination that the application is complete and adequate for
providing a staff recommendation and forwarding to the Public Works Committee for
consideration.
Applicant’s initials:_______________
4. Applicant understands that submittal of an application and payment of the application fee
does not guarantee approval of the permit or limit in any way the conditions the City may
place on the permit, if approved.
Applicant’s initials:_______________
5. Applicant is solely responsible for providing all elements of the application as the City
determines is necessary to provide a complete and adequate application.
Applicant’s initials:_______________
6. Applicant acknowledges full responsibility for any liabilities arising from their use of the
right-of-way.
Applicant’s initials:_______________
H:\FORMS\FE189.DOC (10/06)
FE002 (10/06)
HOLD HARMLESS AGREEMENT
For and in consideration of being given permission by the City of Auburn, Washington, to
use City right-of-way (location and use as described on the permit) within the corporate limits of
the City of Auburn, Washington, the Applicant shall defend, indemnify and hold the City of
Auburn, its officers, officials, employees and volunteers harmless from any and all claims,
injuries, damages, losses or suits including attorney fees, arising out of or in connection with
activities or operations performed by the Applicant or on the Applicant’s behalf out of issuance of
this Permit, except for injuries and damages caused by the sole negligence of the City of
Auburn.
DATED THIS_______________________ DAY OF_______________ ,20___.
___________________________________________
SIGNATURE OF APPLICANT
____________________________________________
COMPANY OR ORGANIZATION
(If Applicable)
STATE OF WASHINGTON )
) ss
County of ______________)
On this day personally appeared before me________________________, to me known
to be the individual described in and who executed the within and foregoing instrument, and
acknowledged that_______________________ signed the same as________ free and
voluntary act and deed, for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this_____ day of_____________20____.
_______________________________________
NOTARY PUBLIC IN AND FOR THE STATE OF
WASHINGTON, RESIDING AT__________________
MY COMMISSION EXPIRES __________________
GENERAL CONDITIONS FOR ISSUANCE OF BANNER RIGHT-OF-WAY (ROW) USE PERMITS BANNERS Street banners of a non-political nature advertising community events sponsored by a non-profit organization may be installed at a pre-designated location within the 200 block of East Main Street, for a period not exceeding two (2) weeks in duration. Requests to install banners shall be made by submitting a Right-of-Way Use application to the City Engineer who shall have the authority to administer the issuance of any such permits. The application shall be made on forms provided by the City Engineer and issuance of any such permit shall be subject to insurance requirements, bond requirements, hold harmless agreements and other administrative details as administered by the City Engineer. Banners shall conform to the City of Auburn Standard Detail. Banners must be delivered to the Engineering Division in City Hall, 25 West Main Street, at least three (3) working days prior to the scheduled installation for inspection by Engineering Division personnel for conformity to Standard Banner Detail. In the event a banner requires emergency attention by the City of Auburn, the City will remove the banner, notify a person listed on the permit, and hold item or items at the Maintenance and Operation Yard (1305 "C" Street SW) for pickup. If a minor problem comes to the attention of the City, the problem (at the discretion of the City) may be corrected and permittee notified of further corrections, if necessary. Failure to make necessary corrections may result in removal of the banner.
FEE SCHEDULE
An application fee for a Right-of-Way Use Permit for a banner is not required; however, a permit fee of $30 shall be paid at the time the application is filed.
REFUNDS
Banner permit fees are non-refundable.
APPROVALS
All ROW Use Permit Applications (except for applications requesting a banner on East Main
Street, haul route, or dumpster) shall be reviewed by City staff and approved by the Public Works
Committee and City Engineer.
CONTACT INFORMATION
For questions regarding the ROW Use Permit Applications please contact Amber Mund,
Engineering Aide, Auburn Public Works Department, at 253.804.3120 or send an email to:
amund@auburnwa.gov .
Auburn Public Works Department (253) 931-3010
Office hours are Monday through Friday, except holidays, 8:00am-5:00 pm.
If you have an emergency while using the right-of-way, outside of the Public Works Department’s
normal business hours, please call 911.
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