HomeMy WebLinkAboutExcavate to replace existing fire hydran PERMIT PERMIT NUMBER TOWN OF SOUTH WINDSOR, CT
STREET CUT PERMIT
DATE: 03/27/08 x ,:u
GIS
ID:43200013
MUNIS
r;. n �` FEE: .00
APPLICATION# 200800314
. ' S RATIONDATE: 03/27/09
APPLICAN y
OCATI
CONNECTICUT WATfP,CO F ON
NAME:
DRE fii..:.
ADDRESS: 25 NORTH ROAD �. IIGHVIEW ROAD
EAST WINDSOR,CTOf8, ' `' `:. «. .cIr THOMAS N&LAURA M
a4CaZHVIEW ROAD
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A. 6074
PHONE 860-623-3355 s..: a. R,
WORK DESCRIPTION: EXCAV .'T�E � py .<.
APPLICANT AGREES TO FURNISH THE TQWN,. '` SQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ENS
FC NTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE'. IAIS;.t TVI ?IYL�ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O
MANUAL.
ISSUED BY DA E"MPE 'rED INSPECTED BY
3/27/20088:27AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ����- CONTRACTOR: C WC
LOCATION: r I `y\`E u
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: z 7
INSPECTED BY:
WORK IN
PROGRESS:
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AS-BUILT:
INPUT: y DATE: 3 1
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION, PERMIT
TOWN OF SOUTH WINDSOR Pe—mit Nc
PUBLIC WORKS DEPARTMENT
TOWN HALL
1640 SULLIVAN AVENUE
•SOUTH'WIN080R,CT 06074
. C, PEE $25.
'Name OQ
of Firrn 'z`
Address'of Flan e- Phone No 6 0' to
Locallon of Proposed
Describe fully nature of permit requested
Starting date Approx.time for completion. .31Z4106
Call Before You DW No. 403g3l.�00 2 Z 7 Traffic services Control No.
Show sketch Of proposed worse Or furawn
two Oman of nPatats drawft
indlcaba NwIhbf
• IoEm1.4t$
Pavement Cut
No.cut!
y Est.'mw of Perm.Pakka)
Est.Pvt Thldet= _Im
•� �'`% Est Unit fte$
-.4ovW)e /0 rK/v Aunt.of DePtNA� .
-- ---.,/gcu H ,dil Total Due ffi by
.� { )Cash
Perntanent Pato '
NO. cuts
#66K k6W tM
SIZa of Pat*$),
' Final BUIN
Amt Due Payee
p Arnt"aus Town
By • ,
Is nslale for
L and C.B. .0.
1 A13REE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND-REQUIRED AND TO REIMBURSE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORKTHE
IN
PERMITS CONNECTION Wi7H THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND JgEGULATION3 FOR
INED IN TN O OF SOUT1•I-WINDSOR'3 STREET CUT PERMIT MANUAL.
signed• ,
Date.
Title•
D*vees License#;
PERMIT SHALL BE KEPT ON JOESITE AT ALL TIMES
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