HomeMy WebLinkAboutDrain Layers Permit 972 Pleasant Valley 700176 TOWN OF SOUTH WINDSOR, CT
PERMIT_NUMBER STREET CUT PERMIT
DATE: 10/19/07
GIS ID:72900972 y•:
FEE:
25.00MUNIS APPLICATION# 2007017 10 �IRATION D
ATE: 10
/18/08
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APPLICANT'....",
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NAME: JAMES THROWE DBA
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ADDRESS: 97 LEY ROAD 7
RIVERSIDE DRIVE ... .. <a`%<< <.>::. €;::.•:. T VALLEY
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SCRIPTION:
SC RIPT IO N:
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APPLICANT AGREES TO FURNISH THE TO.WI*:'pF`'S.k�iJTH(:::
IOUI 'QF IDNb REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI'°E ENS .;INClIw ' EQ1 Fps.> INTENANCE OR REP
AIR WORK IN
CONNECTION WITH THIS PERMIT AND THEE I PP ICAN i I Ali` ANTS 31 L"'ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SQ.0 I H: V ?.S 'S` T1ZT I" ER1kT MANUAL.
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ISSUED BY
DATE INSPECTED INSPECTED BY
10/19/200711:38AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: -7 00 1-7 (, CONTRACTOR: \ 91 �
LOCATION:_ q - a. V (-PQ
TYPE OF WORK: .V)a ,��� � 7a - 7 -7
DATE INSP NEEDED: DATE INSP: ��__S�o
INSPECTED BY: 6
WORK IN
PROGRESS:
40
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AS-BUILT:
INPUT: G DATE:_// 1- 0 i
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION. PERMIT17�
" TOWN OF-SQUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL APP(lCd:jhra
1640 SULLIVAN AVENUE ?/Jv�ol�1O
SOUTH WINDSOR,CT 06074
FEE $25." 60623�
'Name of Firm i (v)
Address:ofFirm Phone No 2Fr5�g
I VQi�5► r -er
Location of proposed work '7
Describe fully nature of permit requested a
$tarting date.
Approx.time for completiona S r.,Gr-G 7
Call Before You Dig No.._c>n`7L1C.YY?o? Ttaftic Services Control No..
Show sl4etd .of proposed Work or famish
tWo Copies of separate drawing lnc cete Notlh 'his secoan to befll�b�
. ToWn,of South'Windsori:
PavementCut
No.cuts
0 Est* Penn�Patd(sj
Est.Pvt.Thickness $ in.
0�
Est.Untt;Price$ �
Amt.of Deposit$ 0,ov
Total Due$ err' �Z fa
by
j Gash(./f Check# `O
Permanent Patch
No. Cuts
Size of PatdKsj
Final Billing
G $
Amt.Due Payee .
AMt Due Town
ey .
lic an is re nsible for eontacti
the Police De t.and C B.Y.D.
Dafi-
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.THI$P, RMITAND THAT i AM FAMILIAR WITH AN WILL ABIDE BY THE RULES AND f2EEPAIR ONS FOR
4 E(3 �2-
PERMITS• , OUTLINED E TOWN OF.SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed:. Date:_/_`7 s�c� D-'�
Title:
Drivers License#:_
PERMIT SHALL BE KEPT ON JOBSITE.AT ALL TIMES