HomeMy WebLinkAboutAntitrackk pad Street Cut Permit Coven M Permit No. 2307 !'own of South Windsor, CT
Date 06/02/1997 Street Excavation Permit
f
Expiration Date 06/02/1998-
Descr i p : CONSTRUCTION ENTRANCE PADS L GTS
Applicant Location
Name CORREIA EXCAVATORS INS <. COVEN MOUNTAIN SUBDIV%S10N
Addr . 47 SMITHBROOK TERRACE
GLASTONBURY CT" 06033 Type of Work MISCELLAN
Phone ( j
Applicant agrees to furnish the Town- ref South Windsor the''amount of bond
requ i req and to re i 4r4burse ,the, Town of S uth Windsor for any exobnses
incurred by the Town for, q ee or r$par work in connettion with this
permit and that applicant # _familia;r with and will abide by the rules and
regulations for permits as but lined in the , Town of South Windsor ':s Street
Cut. Permit Manual .
PLR6N11T TO ESE Y.E.PT ON J08 SITE AT ALL TIMES.
Issued by vitle
Date Cot-f4p ieted --_-- Inspected Hy _
't
APPLICATION FOR STREET EXCAVATION PE
TOWN OF SOUTH WINDSOR PERMIT
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm C��f'
Address of FirmOn No*
Location of proposed work ?'
lac 3
Describe fully nature of permit requested r
Starting date n � 7
Approx.time for i_.:__
Call before you dig no. "°"p'"
Traffic Services Control No.
Show sketch of proposed work or furnish
p p �a To be fine out by Town two co of So. Windsor
copies of separate drawing
Pavement Cut
Indicate North 0��0
.� Prop.size of cut
gr OX 20 No.cuts
'1 0 16
011 Amt.of Deposit$ by
()Cash()Check#
Cut size after Perm. Patch
No.Cuts
Final Billing$
Amt.Due Payee$
Applicant is responsible for contacting Amt.Due Town$
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 WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
PERMIT AND THAT 1 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.
Sign7iL74
Date:Title:
D.L.# S"
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES