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The Director is authorized to establish an application form or forms appropriate for telecommunications entities, public utilities and other qualified service providers to apply for a franchise. The form shall contain at a minimum:

(1) Information identifying the applicant, its corporate or other organizational structure, and the agent or individual filling out the application.

(2) Property and facility information including, but not limited to:

(a) The nature of the application as an application for a new franchise, an application for renewal or amendment or an application for the transfer of a franchise.

(b) A description of the specific services that the applicant expects to provide within the City including whether the services will be provided to the general public, to commercial and/or residential customers or to other utilities and service providers.

(c) A general description of the facilities to be located in the right-of-way including, but not limited to, wireline facilities, cable service, telecommunications service facilities, conduits, pipelines, and other facilities appropriate to the specific utility or service providers’ utilization of the right-of-way.

(d) Where appropriate, information relating to pole attachment or lease agreements with the owners of other facilities located in the right-of-way.

(e) Any licenses, certificates or authorizations required from the Federal Communications Commission, the Washington Utilities and Transportation Commission and any other federal or state agency with jurisdiction over the proposed activities to be conducted in the right-of-way.

(f) Information relating to utility taxes including a description of the services provided and any and all state and local taxes which may apply.

(g) The service area for which the franchise is requested, including a map of the area to be covered by the franchise and specific locations of the initial build out and, if known, proposed future build out locations including which proposed facilities will be underground, ground based and/or aerial.

(h) Upon request from the City, financial statements prepared in accordance with generally accepted accounting principles demonstrating the applicant’s financial ability to construct, operate, maintain, relocate and remove its telecommunications facilities. This provision shall not apply when prohibited by the Federal Telecommunications Act.

(i) A list of all cities or towns in the State of Washington in which the applicant holds a franchise.

(j) Such other information as the Director, in his discretion, shall deem appropriate. [Ord. 4414 § 1, 2019.]