HomeMy WebLinkAboutDriveway Street Cut Permit 87 Clinton Dr 700152 TOWN OF SOUTH WINDSOR, CT
,i►ERVT NUMBER
STREET CUT PERMIT
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DATE: 09/26/07
GIS ID:21300087
MUNI f'R`' FEE:
S APPLICATION :>' 25.00
' .... .CATION DATE-
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09/25/08
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APPLICANT
LOCATI
UTIN&SONS
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NAME: ON
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DRESS: 121 SORVILLE`
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BROAD BROOK, CT T. 6
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IVE
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APPLICANTTHE
AGREES TO FURNISH >'
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THE TOWN OF SO HdIQfT OF
BQND REQUIRED AND TO REIMBURSE SOUTH WINDSOR FOR ANY`IPFiI*ISE ". U» ";: .:.` OWN:FOIz MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THEI,TGAT,�.T I .4 ;; IH:, D WTI L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SbUjfII .'S fi�TREET Ci 1 PE IT MANUAL.
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ISSUED BYDATE .t... ,;b.PE ;:�:�:<:t::�,::.:t�r
IN LTED INSPECTED BY
9/26/2007 10:56 AM *** PERMIT TO B EPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:
CONTRACTOR:_ 6ol,
LOCATION:_ )
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TYPE OF WORK: \ NP W Gc
DATE INSP NEEDED: DATE INSP: �/08
INSPECTED BY:
WORK IN
PROGRESS:
AS—BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FORSTREET EXCAVATION PERMIT
N OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t . Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road roa rook, Conn
Location of proposed work f�7 1 i n nn llri ve
Describe fully nature of permit requested dig o tt. Xi i n •dri yew=, ad ravel where neMpd. grndp,
roll and 12ave.
Starting date Approx.time for completion
Call before you dig no. 20073802242 Traffic Services Control No.
Show sketch of proposed work or furnish TO be f Iled out by Town of SO Windsor
two copies of separate drawing Pavement Cut
Indicate North kl-'L &Tis Prop.size of cut
No.cuts
Amt.of Deposit S by
O Cash O Check#
i Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee S
Amt.Due Town S
Applicant is responsible for contacti n
the Police Dept. and C.B.Y.D. by date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTH WJNDSOR 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 OUTLINED IN THE
TOWN OF SOUTH WINDSOR's STREET CUT PERMIT MANUAL.
Signed: `i Date: y
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES