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HomeMy WebLinkAboutDrain Layers Permit 33 Fairview Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3593 Contractor COX COMMUNICATIONS Location 0033 FAIRVIEW DRIVE Pddrebs 801 -PARKER"'ST.. Type Work CABLE MANCHBSTERT 06040 'CT. 06040. Phone No �fl60)43�: 52;11 Date Insp Needed -----------� Date Insp ��` Time Insp Needed ------- Time Insp i 35 Inspected By wii Work in -Progress - '�i"GG, p(: ' le � yet -- - W { TT -------------------------- Inpu bate a Permit No. 3593 Town of South Windsor, CT Date 09/17/2003 Street Excavation Permit Expiration Date 09/16/2004 Descrip: INSTALL CATV LINg' I' Applicant.. Locat ;on (i Name COX COMMUNICATIONS 00.33._FAIRVIw.DRIVE Addr. 801 PARKER ST.... 06040 CT 0604© 3ype of"Clork CA LE Phone (860)432-52111". Applicant agrees to :furnish the TC?Sa13 0£ youth Windsdt th:e attiount of bond required and to reimburse the. Towxa.o South i�77azaTsor for any expenses incurred by the To, for m2xn ;znance or"repair work lh oonpection with this permit and that applicant is £ mi iar Y t at- will abide by the rules and regulations for permits as outlined an tkze Towh...of South W, n:dsor's Street Cut Permit Manual. * * PERMIT TO BE FfEPT Oil DOE :SITE AT ALL TIMES. Issued by _ Title,.,`_ ---------- -------- ------------------ Date Completed _________________ Inspected By 45--- --� ----- 5E2- -2003 08:40 FROM:WITCH UTILITY DIVISI 4138210955 TO:18606447280 P.1 APPLICATION FOR STREET EXCAVATION PERMIT 000 : TOWN OF SOUTH WINDSOR -_ PUBLIC WORKS DEPARTMENT Z TOWN HALL �D� 1540 SULLIVAN AVENUE �D SOUTH WINDSORf CT wt4lVf� Name of Address of Phone No. 6O Firm !-L , Location of proposed work Describe fully nature of permit requested . a ,r -�� LIB F Starting date CI as*S 9 t cl Approx. time forCOmpeaon_� �S . Call Before You Dig No.2 0 0-3 3 !ss Traffic Services Control No. Show sketch of proposed work or fumish To be filled out by two copies of separate drawing Town of South Windsor e—mew Indicate North Pav Prop.size of cut No. cuts Amt.of Deposit by Cash ()Check# Cut size after Perin. Patch No. Cuts Final Billing$ Amt. Due Payee$ Amt. Due Town$ Applicant is responsible for contacting b the Police Dept. and C.9.Y.n. y date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND 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 STREET CUT PERMIT MANUAL. Signed: Date; Title: D.L.#- PERMIT SHALL BE KEPT ON?OBSITE AT ALL TIMES Standard Form s\Permits\Street Excavation Permit.doc $EP—L7:2003 08:40 FROM:WITCH UTILITY DIVISI 4138210955 TO:18606447280 P.2 Mass: e98-344.7233 DigSafe-com Mass DIG SAFE CLEARS �� 17930 MasslD# 2003 3801461 ON 7.00 �793a NUMBER Conn:800-922-4455 CSYD.Com Pswrd WITCH EQUIP 1 CITY Contractor# 187 DATE 1-16- 103 STREET ADDRESS i `,�'t!/'f/i Gc✓ f�C� t ' CROSS ST F.J G@IFDIFFEMNT 2491 CATV WORK MARKED ? YES 2 ,