HomeMy WebLinkAboutReplace hydrant Street Cut Permits 143 N 740159 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/02/07
GIS ID: 64500143 FEE: .00
MUNIS APP ICATION# 200701594 :::" JRATION DATE: 10/01/08
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APPLICAI��.�:,:.� :x , - <� ' �:LOCATION
NAME: METROPOLITAN D S 1ZTC ':`'"':<'' ..:,,...w .;:. ''; SS";< <:k4 TOgHVIEW DRIVE
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ADDRESS: 125 MAXIM ROAD f '><!; ��I�: _>`�;A�tASC�•O STEPHEN&CYNTHIA R
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HARTFORD CT 06I I4 .,43 �*HVIEW DRIVE
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'H<. 'INDSOR CT 06074
PHONE
WORK DESCRIPTION: REPLACE T 'D
«. :.:..:......:.....:. RAFT,;,,::.
APPLICANT AGREES TO E TH I D '+` F FURNISH w ! BOND REQUIRED AND TO REIMBURSE
S M1'` `' I S< .fI.�V.,' '.: :. !T+F"
THE TOWN OF SOUTH WINDSOR FOR ANY`EXI'EN ES k[ ItRI F* BI'., I :>1'O N FO.#'MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLIC 11 I "F I I't ITf �?AF 1� TLL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SbIJ:TH W 'S SE1 CC7T. ERMITMANUAL.
ISSUE BY DATE MPECTED INSPECTED BY
10/2/2007 11:38 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 00I S % CONTRACTOR: M 6 C
LOCATION:_��/ v 1 r&
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: lf117 ®7
INSPECTED BY:
WORK IN
PROGRESS: A X /D ` C; � x 7b
S, C�A". &-EW
AS-BUILT:
INPUT: DATE:_ / - /1 6
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION.PERMIT
TOWN OF SOUTH WINDSOR
10 PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
1 C FEE $25.60
Name of Firm
Address of Firm S S t Phone No. - / -78,SO
Location of proposed WO. 14
Deselbe fully nature of permit requested
Starting dale (D ^ ( —
04 Before Ypu Dig No: aOp Approx Gore for compielion
�p -� Traffic Services Control No,
Show sketch of proposed work or furnish
two copies ofSeparMe drawing Th_ 1S macfon 4e fo filled o[rt by
- _ Indicate North-
7oVvn of S "Windsor
Pavement Cut
No.cuts
(C.43 ESU Size of Perm.Patcb(s)
Est Pvt,Thickness In.-
Est.Unit price$
Arnt of Deposh
4JO Total Due S
by
( )Cash( )Check
Permanent Patch
No. Cuts
Size of Patch(s)
' •. Flnaf Biding .
. AmL Due Payee ,
AmL Due Town
AppGoads re rts-7Xe forcontacfrn 6y
tha Police D f:aril G-B.Y.D.
I AGREE TO FURNISH TO 711E TOWN OF SOUTH WINDSOR THE AMOUNT'OF BOND REQUIRED AND Tp
TOWN OF SOUTH WINDSOR FOR ANY ExpENSES INCURRED BY THE TOWN FOR MAl REIMBURSE THE
CONNECTION WFTW THIS PERMITAND THAT I AM FAMILIAR WITH AND WILL A131DE BY THE Rt RULES RE PAI WORK GULATIONS FOR
PERMITS A5 OUTLINED IN THE To OF SOUTH WiNDSOR'S STREET CUT PERMIT'MANUAL.
Signed- R .
DateTifle
( ( —Q
Dri Ws License :
PERMIT SHALL BE KEPT ON JOBSITE Al-ALL TIMES