HomeMy WebLinkAboutWater connection to Aldi job trailer/no 700118 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE:
07/31/07 ,
GIS ID: 7860029513
w?<.>:.,.:;"`< FEE:
MUNIS APPLICATION# 200701199 �:��
<.:«: 25.00
. E
,: :. IR.A���.:.L � TION ATE:
07/3 0/08
:fit M•...t; ,.�;,,:' °;f...::
'r
,:'r.
AP
PLICANT:'LI C A
:.: :.
NT::'�
s <L OCAT
NAME: J&H SLATER CONST::I ' :...295 RYE STREET
ADDRESS: 75 COMMERCE WAYF
ER<' :''...:;`•��U'�,BRO SHEPARD AS<� , ; ASSOCIATES
SOUTH WINDSOR
f.
.�'�EST NEWBERRY RD
. ;..L�.OMF3 '
PCT 06002
:
.:.
HO NE
8 - - ..60 52 8 52 52
s4
ER
WO
RK
RK DES
CRIPTION:TION:
STRE: T`CWA
B FRAIL
NO P1ktT4A ,' CH: iCE. " ,;. (7. C N- S DUCT THE ROAD
APPLICANT AGREES TO FURNISH THE'FAWN pi., h-,kW . ,3.•
IO�?1?Yl fi)F OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC'E.':: I INS,:'€`zTOVirI�>�C�It.1vIAiNTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TfN:4PI«ICA&- X§FA*Wh ,` hf' ND WILD ABIDE BY THE RULES AND REGULATIONS
ANUAL
FOR PERMITS AS OUTLINED IN THE TO
WN OTC:: bU..
I WII # . `:
�J 5 .. T RE P CJ ..PE M
ISSUED BY DA`T «INT`P,,F;i`Eb �+ INSPECTED BY
7/31/20073:14PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES.,*
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 7c�r��� CONTRACTOR: j -r I�
LOCATION:
Ae ��
TYPE OF WORK: � `� �t c0 r)YNec,7 a r, -fib A l d l tya l
DATE INSP NEEDED: I, DATE INSP: z w /67
INSPECTED BY: Q�
WORK IN
PROGRESS: 0!4 � e rri«e � s Gam.[ 4 mrr �
w
AS-BUILT:
INPUT: Gam- DATE: / d �/�` .-I
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION. PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm
Address of Firm _7 Phone No.
Location of proposed work
.Describe fully nature of permit requested _
i2 /il lG ��%ll 7C5
Starting date Z 7
Call Before You Dig No. Approx. time for completion 7 ,�
Traffic Services Control No.
Show sketch of proposed work or fumish
two copies of separate drawing Indicate North This section to be filled out b
Town of South'=ndsor
Pavement Cut
No.cuts
Est'Size of Penn.PaWs)
Est Pvt.Thickness in.
Est Unit Price$
Amt of Deposit$
/ Total Due$ y
/)Cash( )Check#
Permanent Patch
No. Cuts
Size of Patci(s)
Final Billing
$
Amt Due Payee
Amt.Due Town
Applicant is resPonsible for contacting
the Police De t.and C.B.Y.D.
AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND
TOWN OF S TH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR
TO REIMBURSE THE
CONNEcin N ITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
PERMITS. S TUNED IN THE OWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL WORK IN
(J NS FOR
Signed: / -- _7/�l�/6 7
Date:
Title:
Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES