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Home My WebLink AboutDriveway Street Cut Permit 1 Pepperbush 700113 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/25/07 % GIS ID: 70800001 MUNIS APPLICATION# 200701155 FEE: 25.00 Fy; <RXPIRATION DATE: 0 4/08 A PP L I C A NT>' uz' LOCATION NAME: M&S PVING&SEALING ; ADDRESS: 435 B s:<;:;;;:::Nf:; 13pPPERBUSH WAY UCKLAND RD Y" << 4»�°7lQ"';',.,�'.� '•. �;�•�: < >�> °1�I�JbfiWl U. ILLIAM J&L NA RS WINDSOR,CT 0607', > <PEPPE 1�B�ISH LANE H>. ' S I�TD O CT 0 607: 4 P �H ON E W. WO RK RK DES CRIPTION:C RIP TI O N: ;:.:.. RI .n: `r< APPLICANT AGREES TO FURNISH THE TOWNOI' 4JTfT `ICL': ?I ;' O i••:r:<,;<:: UN QF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN ,E ''kNSE'.jN', t PG ECS I INTENANCE OR RE PAIR WORK IN ONNECTION WITH THIS PERMIT AND THI`:QPPI TGA ;,ES`F tf :> zILF:> IDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OFFJ IH :IIT91 ' ;:E I JB`F MANUAL. it' o//CA ' L » r ` <, </, ISSUED BY '. ..;; DAB E"INSPEiCTV-D INSPECTED BY 7/25/20079:38AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.-: CONTRACTOR: Vim" -S p,� I nc LOCATION: h wQ ADDRESS: TYPE OF WORK:_ ` )6 v LOG DATE INSP NEEDED: DATE INSP:_a / /v INSPECTED BX: WORK IN t PROGRESS: ��®!ems f" INPUT: V' - — DATE: 8 ,#: - _ - - APPL CATfON FOR STREET EXCA1/ATION PER1�IItT 70WN OF SOUTH WINDSOR PUBLIC WORKS©EP�tRTMENT Permit Na. , —DWN ALL-_ 'F54Q SIILLNAN AVENUE SOU" t ,WtN SOP,CT 06074" �. 2 .6 Name of Firm a S +Y1b0bZ:/t� s , II I. I. II Phone No. O .. s ' -19��5' I. Address of firm 3 " ti T?f lt.)/n/, 5'C Luca#ion:Qf proposed work ` . µ Qesai 6e fatty nature rmit,requested r Zt starti€tgg state_ •..�' •6 7 _ Before You Dig N_. .. 2 Al a(,5 Approx.time for compta Iio ?d " Ig} �` " Traffic Services Contort O. Show sketch ofp�oPosei#wertc or f�rmish two copies of-sepatae tlrawig ircatie NaMit his aecctiioe to try filleet sett by, .Town of:Soteth Witsdsor� Pavement Cut: *Icarts Es#:Size"of Perm:Patc {sj Est Prrf,'ffiicrtess �, Est.Unit Price$ Amt of Deposit Totat Due.$ " by (. j Cash( j Chetc# Permanent Patch No. Cuts Size of Pafeh(sj FirwMifrag $ . Amt Due Payee Amt Due Town t3y Appiicant.is resiwnsibie for cwtad Date ttse Poke t.and C.B Y;D, . ,"AGREE'?© FURNISH Tt3 THE tC�IIVN DP SE)i17ii:WlNI�SQR"Ti♦E"AMOUNT OF BOND;REQUIRED AND TO Ri=1MBURSE THE TE?WN Oi: SOUTH WINDSOR"F©R ANY i=XFENSE ;I1aiC JFtRED;8Y 7'_ 7fl 1'N FOR I�fAiNTENANCE OR.REP#llit V6tORiC"fN C tNhiECTttIV tIS/iTH THIS pERMlT AND 1 HAT i AM FAMIi.1AR WITH AND.INtl.L At3tDE 6Y,THE t2U!ES AND,REGULA7 f©tVS FOR Pi=RMtTS f , fl I ,... tN THE Tt3... Oli S{(1 'H VtifIt�IDSC R'S S7R(;E F CUT P RMfT MAI+lt1AL III lI III II II II II Signed (r . ; Date. �i F'.6; _- I. 1. Title: ,'. Diiver's,.,sense#: PERMiT SHAt.L i3 I KEPT ON JOBSlT /�T Ai.L TIMES166, JOB INSTRUCTIONS PROJECT NAME: C3yV - fi' CONTACT NAME:�Lx , �V`' ADDRESS: t ,' - f PHONE: ~ CITY. ALT PHONE: WEEKEND ❑ WEEKDAY CRACKS L.F. BOXES %WITH GRASS NOTES: PAVING L4 SF RESURFACE SF EXCAVATE SF STRIP SF GRADE&PAVE LF CURS TON �$ (jT S NOTES. C� U c) Wk's , DIRECTIONS SEALER SF %TO EDGE SHADE CURB STOPS CLEANING NOTES: j + f JOB INSTRUCTIONS PROJECT NAME: iC, �}� CONTACT NAME: €i ADDRESS: d2 PHONE: " -t CITY. ALT PHONE: WEEKEND ❑ WEEKDAY ❑ CRACKS L.F. BOXES cec %WITH GRASS NOTES: 000 PAVING H SF RESURFACE SF EXCAVATED SF STRIP SF GRADE&PAVE LF CURB TON :%Gl ,-C oT S NOTES: I;ZA C v sz-e �T jacLj DIRECTIONS SEALER SF %TO EDGE SHADE CURB STOPS CLEANING NOTES: