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<br />€i~:un;,ff~ <br /> <br />MGCII 9702 <br /> <br />RIGHT-OF-WAY PERMIT APPLICATION <br /> <br />APPLICANTS/CONTRACTORS NAME: CenterPoint Energy <br /> <br />PERSONS PERFORMING WORK: Contract crews <br /> <br />LICENSE #: <br /> <br />GOPHER ONE-CALL REG. #: 0029 <br /> <br />ADDRESS: 700 Linden Avenue West, P.O. Box 1165, Minneapolis. MN 55440-1165 <br /> <br />TELEPHONE #: <br /> <br />612-321-5426 <br /> <br />EMAIL ADDRESS: <br />763-754-4177 <br /> <br />Bill Mord, Project Manager <br /> <br />ADDRESS OF WORK SITE: Various - Throughout City as Listed. <br /> <br />PROPERTY OWNERS NAME: Numerous <br /> <br />TYPE OF WORK TO BE PERFORMED: Replacement of 217 gas service lines. <br /> <br />(Blanket application) <br /> <br />EXPECTED LENGTH OF CONSTRUCTION: Two months (+) 8-15-05 thru 10-31-05 <br /> <br />EMERGENCY? Y <br /> <br />x N <br /> <br />PERFORMANCE BOND? Y X N <br /> <br />You need to attach scaled drawings showing the location and area(s) of the proposed <br />project and the location(s) of all known existing and proposed facilities. <br /> <br />You will be presented with a copy of Ordinance #74 which regulates the Right-of- <br />Way Permit Application process and required submissions. You will be asked to <br />place with the City a performance bond, certificate of insurance stating the City as <br />additionally insured and other documents as required. <br /> <br />Date: <br /> <br />8-03-05 <br /> <br />A . ~~C~~'k <br />Applicant's Signature:cfj- <br /> <br />Inspection Date: <br /> <br />ROW Permit Application #: <br /> <br />152 <br />