Barricade/Tower Light Permit

Today's Date*

MonthDayYear
Date
Rental Type*

BarricadesTower Light
Applicant Information
Contact Person*

First NameLast Name
Company/Business/Govt Agency
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Event Information
Event Date*
Event Address*
Event Time*
Event Type*
Terms & Conditions
1. Transportation Arrangement: The applicant must arrange to transport rented equipment from and back to the Department of Public Works.

2. Damage Liability: When renting barricades, it is the applicant’s responsibility to return them in the same condition they were received. Any damage incurred beyond normal wear and tear will result in additional charges or fees.

3. Local Regulations: The applicant must comply with local regulations governing the use of the rented equipment. Failure to do so can result in fines or legal penalties, for which the applicant will be liable.

4. Safety Standards: The applicant is responsible for ensuring the rented equipment is safely used and safety standards are followed, including proper setup, maintenance, and supervision to prevent accidents or injuries.

5. Late Fee: The applicant must ensure items are picked up at the agreed-upon time, as specified in the rental agreement. If the applicant fails to return the rented equipment by the agreed date, a daily rental charge will be added.
Return Date of Barricade/Tower Light*

MonthDayYear
Date
Applicant Signature*

Clear
Date*

MonthDayYear
Date
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