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HomeMy WebLinkAboutInstall test station on gas main Street 700088 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/19/07 GIS ID: 76100055 lP ;,...M FEE: .00 MUNIS APPLICATION# 200700923 ," "' ' : ;.;' BIRATION DATE: 06/18/08 fi..APP LICANT �:.. LOCATION : �. TION NAME: YANKEE GAS 55'-RIIVfFI -1rD DRIVE ANES ADDRESS: 112 PROSPECT HILL RTC �;'< •':: _;:<:�;>�:,..:.. STEPHEN V&DANIESE V EA ST WI NDSOR, OR CT 8` �5 �1'I `D DRIVE:.: L E H WINDSOR.CT 06074 s I. PHONE 860-292-2242 . ' ..�.::. :.•: ,,::;. : 4`<€>�>:' : } WORK DESCRIPTION: APPLICANT AGREES TO FU RNISH THE TOWN WN .�. �J O .�SQ�J'T?I�I:;.� .4.iWYf�`` <,,�`I'�3F I30ND'RE UIRED A a�..: ..�' Q AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANk EX"' Ns .%INCH�l M' F QR,1vTt1I�1TENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE,A.P*IiC�"I t L: F b WIf l QrBIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN O'SfLT I` I:VWTiTDI'. > Rl ; 'IJTIVTfi I;IIANUAL. ISSUED BY DATE ISED`>...<;<:: INSPECTED BY 6/19/2007 11:43 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 'I? CONTRACTOR:__ LOCATION:__ Ss �im�i ,� , ADDRESS: TYPE OF WORK:_ f/15 i /1 t4 DATE INSP NEEDED: DATE INSP: j ©� INSPECTED BY: k3) WORK IN PROGRESS: -INPUT: C VY DATE: - 3- l t� N�33 1✓,i a, �`t Y 24..... e R1MFIELD DR. a' ® 3 2"PL NP 1' 1 1.5 2'PL HP IM 2` HP 199D T Flow 69 ct of'Site C �"�"e as . . 7_ ,� ►- r .; a ..��' . �""; 4.8 i " I° k HUM �IL r a n s� APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR Per— _ • PUBLIC WORKS DEPARTMENT mit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm_ Phone No. Address of Firm Location of proposed work_ ,� �, �� _ Describe fully nature of permit requested .�t %r C i 2 Starting date_ i . '��. 3l , .7 Approx. time for completion_ Call Before You Dig No Traffic Services Control No. Show sketch of proposed work or fumish two copies of separate drawing I0ndicate North This section to be filled out by Town of South'Windsor Pavement Cut No.cuts Est.Size of Penn.Patch(s) Est.Pvt.Thickness in. Est.Unit Price$ Amt.of Deposit$ Total Due$ by ( )Cash( )Check# . Permanent Patch No. Cuts Size of Patch(s) Final Billing Amt.Due Payee Amt.Due Town By Applicant is re DO risible for contacti gg the Police Dept.and C.B.Y.D. 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 TLI}�ED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signe Date: Title: Driver's License M PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES