Rights of way - Rocky Mountain Power

APPLICATION FOR PROPOSED USEOF ROCKY MOUNTAIN POWER RIGHT OF WAY1. Name of applicant: _______________________________________________________________________________________________________2. Name of company applicant is representing:_________________________________________________________________________________3. Address of applicant: _____________________________________________________________________________________________________4. City, state & zip of applicant: ______________________________________________________________________________________________5. Phone # of applicant: Home: ___________________________________________ Work:_________________________________________Cell: _____________________________________________ Fax: __________________________________________6. Site address of proposed use: ______________________________________________________________________________________________7. City, state & zip of site address: ____________________________________________________________________________________________PROVIDE A COUNTY ASSESSOR’S MAP SHOWING THE PROPERTY BOUNDARY LINES OF PROPOSED USE IN RELATION TO ROCKYMOUNTAIN POWER’S FACILITIES (SHOW POLE NUMBERS INVOLVED). PROVIDE ALL NECESSARY MEASUREMENTS, INCLUDING DISTANCEFROM ROCKY MOUNTAIN POWER’S FACILITIES. (ATTACH DRAWINGS OF INTENDED USE IN RELATION TO ROCKY MOUNTAIN POWERFACILITIES)_____________________ *POLE OR TOWER STRUCTURE IDENTIFICATION NUMBER_____________________ *POLE OR TOWER STRUCTURE IDENTIFICATION NUMBER* located on metal sign on utility pole or tower if overhead lineTax lot or parcel number: ___________________________________QUARTER SECTION(S) SECTION(S) TOWNSHIP RANGE COUNTY STATE____________________ ______________ ______________ ______________ _______________________________ ______________Purpose for which right of way is to be used❏ Driveway/roadway ❏ Pipelines❏ Electric service line❏ Electric transmission lineWidth___________________________________ Type: ❏ Gas ❏ Sewer ❏ Water Voltage ________________________Material_________________________________ Diameter ________ ________ _________ Underground ___________________Private __________________________________ Material ________ ________ _________ Overhead _______________________Public __________________________________ Buried depth ________ ________ _________❏ Other use: (describe in detail proposed use)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(Please include all dimensions of proposed project)Applicant name Applicant signature Applicant titleOnce completed, send with all pertinent drawings to:Rocky Mountain PowerAttn: Rights-of-Way Department1407 West North Temple #110Salt Lake City, UT 84116Once we have received the application, notification will be provided to applicant indicating denial of proposed usage or approval withconditions. Please be advised that the project may not commence prior to written approval from Rocky Mountain Power. Please allow4 to 6 weeks for review and consideration of your application.