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• TOWN OF BOUT .WI €' 451 so�vD � NDSOR
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Am't Req. �„U 0j()a v. PUBLIC WORKS DEPARTMENT Date - z6_9 7
FAm't on File 4 Jam"`{% TOWN HALL
1540 SULLIVAN AVENUE Permit No. `-I 7 J
7 Date of Expiration 2��� SOUTH WINDSOR, CT 06074
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APPLICATION YOR PERMIT permit Expires
FEE $10.00 -)
Name and address of applicant e(c '11--.. ?e-vt-k'-14�c'c.t:jl2µ�� pll neNo. �Z.S�=`i�fJ�
Location of proposed work
Describe fully nature of permit requested ,
Insurance on file with Town , yes no Date Policy expires �L
Name of Insurer ��
oApproximate time for completion Desired starting date
Show sketch of proposed work or furnish 2 copies of separate drawings
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(FOR FURTHER INFOPJ,1ATION
9 7-6/f9-7 - LOOK IN THE CLARK STREET
u /�iJr) FILE/SETTER PEPMITS)
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� Applicant is responsible for contacting the Police Department and CALL BEFORE YOU DIG.
I agree to furnish to the Town of South Windsor the amount of bond or deposit required and to
reimburse the Town of South Windsor for any expenses incurred by the Town for maintenance or repair
work in connection with this permit and that I am familiar with and will abide by the rules and
regulations for permits as outlined in the Town of South Windsor's (Pavement Cut Regulations.)
Signed
APPROVED. DATE APPROVED: r DATE -z�—�7
Supt. of Highways Town Enginee
FOR INSPECTOR: Date work started Date completed
Sufficient notification received: yes no Type of repair: Perm. Temp.
Unusual conditions encountered
Material slips attached: yes no Dated for Permanent repair
Signed
Inspector
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A E L TD B E AEAMMIET). M ATETZ.!A"
PE 5.05 Issue B
September.19 70
S.N.B.Tel.Co. -
Alternate Psgs 1.2 Pages
Hod Nall PRECAST 73
O t00x5�xT�AND
IOX5'x10J#
�. .4 4/2-
Supplied with one side wall
(Not etockW by Mfr.) having two groups of 4"round
openings and the other side
Alternate loco- well having two 12" x 18"
tion of roof �%V opening.
opening
i O
r
OO OO OO 'r00 00
00+
s io
bao
- Shia section to increase
head room from 7' to 10'
or 13'. Only made with
2!Tlz
conduit knock outs. We
shim section for load
holes and where additional
E ducts are required.
00 00
00 00
t`► 00
00
1�
�600.
Splicing gays: with standard cable racking in place there are two
30"vide splicing bays on each side wall.
Bolt Inserts: Inserts are provided for installing cable racking for
splicing operations.
Usual Hardware: Manhole used for cable splicing
12 pce. 18-Hole Cable Rack
2 Pulling-in Eyes
Availability: This manhole is stocked by manufacturer.
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