Indicates required field Work Zone User agrees to the following:User will defend, indemnify, and hold harmless the City of Chattanooga, Tennessee its officers, agents, and employees from any and all claims for damages for injuries to persons or property related to or arising out of the aforementioned use. User will vacate the City’s Right-of-Way and restore the property to substantially the same condition that existed prior to granting the work zone use within seven (7) days of notice from the City to do so. User will provide full access for maintenance of any utilities located within the work zone. User will obtain any and all other permits, variances, or approvals necessary for activities in the work zone. User agrees to maintain the property including, but not limited to traffic signs, signals, poles, street lights, parking meters, pavement markings, landscaping and irrigation, benches, trash cans and tables in the work zone in the condition equal to or better than the condition at the time the work zone use is granted. User agrees to install and maintain traffic control signs, channelizing devices, and job site, work zone and/or staging area perimeter fencing as specified on attached traffic control plan, and shall maintain the devices for the duration of the project. Relocation or removal of traffic control devices or perimeter fencing shall not be allowed, unless approved by a representative of the Transportation Department. All contractor employee parking shall be inside the perimeter fencing, when applicable. No employee parking shall be allowed on metered spaces unless previously approved by the Transportation Department. Permit Type - Select -Utilities ApplyGeneral Apply Contact Person (First Name Last Name) Phone Number Work Zone Location Address Email Address Estimated Start Date Estimated Completion Date Right of Way Closure Type (No closure before 8:30am) Shoulder Work, no closure. If lane is closed flaggers will be used to maintain 2-way traffic Single lane closure, maintaining two way traffic w/yield condition; beginning after 8:30AM until 4PM Single lane closure, maintaining two way traffic w/flagging; beginning after 8:30AM until 4PM Lane closure and shift traffic over to other lane; beginning after 8:30AM until 4PM Full Closure - Detour around the block; beginning after 8:30AM until 4PM Other… Enter other… (No closure before 8:30 am) Description of Work Zone Attach your traffic control plan and/or schematic here One file only.100 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Add additional attachment here One file only.100 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Signature (Type your full name to authorize this form)