HomeMy WebLinkAboutNew sanitary lateral Street Cut Permit 2 Permit No. 2296 Town of South Windsor, CT
Date 03/18/1997 Street Excavation Permit
Expiration Date 03/18/1998
Descrip: NO PERMIT FEE CONNECTED, WI 16 C-USTOMER
Applicant Location
.'
Name COVEN CONSTRUCTION CO ," p0 AERIt° DRIVE
Addr. P.O. BOX 427
COVENTRY CT 06238 EW SAN LAT
Phone (860)282-0526
Applicant agrees to 1t *i!'r, h ToT pf St � iP44p the amount of bond
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required and to re i mbU � e Tour �6uh W1 'r far any expenses
connection with this
incurred by the Town ror r � ens r ' arr
k� 's
permit and that app 1 "pff j T, abi de by the rules and
regulations for permit; r$ t7na 6fMoth Windsor' s Street
Cut Permit Manual . �-
A
* * PERMIT TO 1" LL TIMES.
Issued by �At�-v G F s pn �r c
Date Completed Jao f7 Inspected By P&P
APPLICATION FOR STREET EXCAVATION PERMIT
PUBLIC WORKS DEPARTMENT
TOWN HALL
"L 1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm V L 5-� C(�,,,d �-� Phone No. 060
Address of Firm Po L -) C+ U 3
Location of proposed work__ )-t ��2 ✓-,
Describe fully nature of permit requested S-tc `L—
Starting date G - Approx.time for completion_ t
Call before you dig no. I Traffic Services Control No.
Show sketch of proposed work or furnish To be filled OUt by Town Of SO. Wlridsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut V
No.cuts_
Amt.of Deposit$ w by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt.Due Payee $
S
Applicant is responsible for contacting Amt. Due Town
the Police Dept.and C.S.Y.D. by date
1 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 I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STRE0.6aA14T
ERMIT MANUAL.
Signed'W14rj Date:
Title:— h D.L.# ,Z QI 0 6 ) i
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES