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HomeMy WebLinkAboutDriveway Street Cut Permits 1164 Pleasan 700092 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/22/07 GIS ID: 72901164 FEE: 25.00 MUNIS APPLICATION# 200700949 e '" " E 'IRATION DATE: .. ' 06/21/08 APPLICANT O'';L, CATI ON NAME: M&S PAVING AND SEALING;:��1�'::.' `> "S ;; DIISS': ''"2I64T EASANT VALLEY ROAD :. :.... ;, «.M435 BUCKLAD ROAADDRESS: : RA IS P&YVETTE C SOUTH WINDSOR, u iANT VLY RD '!ER,CT 06040 PHONE 8 60-64 8- 1 915 ,... x WO RK D ESC RIPT ION: D RIV'�V�'A3Y'.,: E APPLICANT A ..:.:..:.:... ::;:.. ,::::. No AGREES TO FURNISH THE TQWN Q >. C1�UtI .'+:, ;: gp QUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN .EXF!ENS��INC ?? TDV ,FO 1V11TENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THT'=API'7 °15 ' >tX „Wit"E" IDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF=SOUT�i; S RIEEx;...Q PIyM- T MANUAL. fix^^—'ti ISSUED BY D""TB<: CES INSPECTED BY 6/22/20073:18PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** JOB INSTRUCTIONS PROJECT NAME: .,..�.t ti � j,, CONTACrNAME: fiLarN- -z ADDRESS: t1 Q� gt -`�_ PHONE: CITY. ti ALT PHONE- WEEKEND ❑ WEEKDAY CRACKS L_F BOXES %WITH GRASS NOTES: PAVING • SF RESURFACE SF EXCAVATE I!} SF STRIP SF GRADE&PAVE - -ilk LF CURBE(,,I TON NOTES: DIRECMONS, -- ge SEALER " IGG t v. tom. Ga,v 4'L► SF %TO EDGE SHADE et t3 P e v ,rf-e CURB STOPS CLEANING NOTES: APPLICATION FOR STREET EXCAVATIQN PERMIT TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN"HALL. 16 SULL.tVAN AVENUE 5©UTN W{NDSOfZ,CT 616874 FEE Name of FirmiA IC. Phone No. '= jam., Address"of Firm ] _ Location o€proposed work 11 t'oC 7- t�i�cr[. ?j c So u. 1 ti! t 1S Describe fully nature o€permit"requested ;44- /A.-i f7 1�1i�f I✓ ?3 .c l 4 W Li- �� "7bGt rJ-��7� Starting date f� •vZ N 7 Approx.time for compiefiori� p Y Ca(t%iefare You Dig No Ca D 7 oZ5'bo`z t 9Y'� Traffic Services Control.No., Show sketch of Pnrposed_ww or furfiish two of parate draw rig indicat -flow T-iris ecEiot'to tie filled atrt 6v 3 aRm of South Windsor Pavement Cut No.cuts EsL Site of Perm.Pates) Est:PvL Thickness in. Est"Unit Pace$ Amt.of Deposit$ Total Due$ b ('.)Cash )Chedt# Pemanent Patch No. Cuts Size of Patchf0 1=tr�al.8iltir�y Amt.bus Oa Amt Due'town Sy Applicant is responsible for contacting ' Date the Police and.C,B.Y,D. i AGREE TO FtJRNiSH TC?THE TUV1(N,UF"'SOU ftl /INDSOR THE AM©UNT CE BOND RfiQU.IRED AND TC}"REIMBURSE THE " TOWN'OF,SC?UTH;WiNDSOR FOR"ANY"EXPENSES iNCt IRKED BY"THE TCWYN FOR MAIM ENANCE OR REPAIR WORK tN CONNEC7ICIN"1NiTN S PERMtT laNO THAT I A 4,FAMILIAR WtT H AND WILL ABiDE.BY THE RULES AND REGULATIONS FOR PERMITS OUTLiN D " THE"TOWN OF SEdUTH WINDa€3k STRl=1`TCUT'PEf MIfiMANUAL. Signed: De o2 - '6J 77 te - - Title: -�.." Diivei's License#: PERMIT L BE KEPI ON,IOBSITEAT ALL TIMES TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 6O0 9,;t, CONTRACTOR: LOCATION:_//6 101eg ADDRESS: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: 7 -INSPECTED BY: �D WORK IN PROGRESS: INPUT: UY� DATE:_