HomeMy WebLinkAboutReplace fire hydrant Street Cut Permits 1 700153 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/28/07
GIS ID: 91809999
. FEE: .00
MUNIS APPLICATION# 200701575
ERATION DATE:
09/27/08
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APPLICANT.,
NAME: iLOCATION
METROPOLITAN DISTRICTES,...,;
ADDRES
S: 125
MAXI
M ROAD
£1fflF SOUTH WINDSOR
H AR TFO RD CT 061 1
4f1 ULLI V AN AVE
PH
'I1�D
SO CT
06 074
ONE
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�WORK DESCRIPTION: REPLG 1
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APP
LICANT
AN T
AGREES
TOF FURNISH THE Tom' r
WN:�I. �i�TH':'
,,. �. =�N.IOiJN'F'OE;B;�7I�:)REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY`I~XP' `; j < �ITENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE 11 P � "��; . Ifi;: ? IIa T 1II'AND` I ''ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S`bI JT T NA SI 'S S 1 T ET' 'k R11rkI I MANUAL.
i ;x'
ISSUED BY DATE INSPECTED INSPECTED BY
9/28/200711:48AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ®V 5 3 CONTRACTOR: V A
LOCATION: (Lt �.O ct C
TYPE OF WORK:_ a((c n -
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 8 D
WORK IN
PROGRESS:
AS-BUILT:
INPUT: C V\% DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
U-5/t EP, 25, 2007 12: 58PM'x NDC SYSTEMS REPAIR` $ur N0, 002 P, 2 =
APPLICATION FOR STREET EXCAVATION,PERMIT
TOWN OF SOUTH WINDSOR Penn t N,,
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH VWNRSOR,CT oBo74
FEE R
'Name of Firm
A-t?
Address of Firm _ —
Location of proposed work
Describe fully nature of permit request
Starting date Approx.time for completion —
Cap Before You Dig No. C e Traff[C Services Control No.
S etch of proposed work or furnish
Eopies of separate draMng Indira NCI,• mis secfion to be Tilled out b_y
Tin of South Windsor
a00;v3 ;,Os 'op Pavement Cut
No.cuts
Est:size of Perm.Patch(s)
Est Pvt Thickness _in.
'40 60lAcr cJ. - Est Unit Price$ _
y3 I Amt of Depomt$
Total Due$ by
( )Cast1( )Check#
03 /Yd/t��i Y'/c w �/'. c�j00 7 c3+F0 lv�Su— -
Permanent patch
X??'.G Na. _
Size of Patch(s)
• ' Final Billing
- Amt Due Payee
AmL Due Town
By
Applicant is reipomue for contacttn .
the Police Dept and C.B.Y.D.
l AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE=AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR roR ANy EXPENSES INCURRED eY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION Wl'PM THIS PERMrr AND THAT I AM FAMILIAR WITH AND WILL ABIDE BYTHE RULES AND REGULATIONS FOR
PERMITS OUTL ED E TOWN OF SOUTH WINDSOR"S STREET CUT PE iT M UAL.
n � Date• 0 _
Driver's License#_
PERM r S L BE PION JOBS AT ALL T ME$
SEP, 25. 2007 12: 58PM MDC SYSTEMS REPAIR N0, 002 P. 1
FAX
METROPOLITAN DISTRICT COMMISSION
OPERATIONS / SYSTEMS REPAIR
TO: FROM: L/e
FAX#: y z?a PAGES: R
PHONEM DATE:
COMMENTS:
C/ UU,r
i
SYSTEMS REPIkIR OFFICE
125 MAXIM RD. HARTFORD CT 06114
PHONE- (860) 278-7850/ ext. 3629 JOHN PAGANETTI OR ext. 3615 JEFF REA
FAX## (860) 550-7961