HomeMy WebLinkAboutRoad cut for building Austin Circle Stre � '
BOND TOWN OF SOUTH WINDSOR N° 813
Am't Req., PUBLIC WORKS DEPARTMENT Date �1W 9 Z.
y TOWN HALL
Am't on File 1540 SULLIVAN AVENUE Permit No.
SOUTH WINDSOR, CT 06074 q
Date of Expiration Permit Expires2
APPLICATION FOR PERMIT
FEE c IQ
Name and address of applicant J.M.J . Construction Co .PhoneNo.648-9038 or
658 Ellington Road South Windsor, CT 06074 -
Location of proposed work A ,ctin ci r 1P & Smith Street South Windsor
Describe fully nature of permit requested Road Cut Smith Street South Windsor
to build Austin circle road for Redfield Planned Community
Insurance on file with Town yes no Date policy expires
Name of Insurer Nationwide Insurance (Ron Morins Agency) South Windsor
o Approximate time for completion Sere Desired starting date Myrrh t or , 1992
Call before you dig ticket 11o.
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aShow sketch of proposed work or furnish 2 copies of separate drawings
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p. Applicant is responsible for contacting the Police Department and CALL BEFORE YOU DIG.
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I agree to furnish to the Town of South Windsor the amount of bond or deposit 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
relations for permits as outlined in the Tov n of South Win or's (Pavement Cut Re pions.)
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Signed
APPROVED: DATE APPROVED: DATE
Supt. of Highways �' o n neer
FOR INSPECTOR: Date work started Date completed
Sufficient notification received: yes no Type of repair: Perm. Temp.
Unusual conditions encountered
Material slips attached: yes no Dated for Permanent repair
Signed
Inspector
BOND
TOWN OF SOUTH WINDSOR
Am't IiegF -~ PUBLIC WORKS DEPARTMENT Date
TOWN HALL
Am't on File IW SULLIVAN AVENUE Permit No.
SOUTH WINDSOR, CT 06074
ate of Expiration Permit
APPLICATION FOR PERMIT Expires/f
FEE
Name and address of applicant J.M.J. Construction Co . woneNo.648-903(
658 Ellington Road South Windsor , CT 06074 }
Location of proposed work Austin circle & Sil tla Street South 7inr'sor
Describe fully nature of permit requested. Road Cut Smith Street South Wi ,dsnr
to build Ahstin circle road for Redfield Planned Cammunity
Insurance on file with Town yes no Date policy expires
O Name of Insurer_Nationwide Insurance (Ron Morins Agency) South 1-Tine.-,or
O Approximate time for completion Tear Desired starting date rtar,-h I et 5 i_o
Call before you dig ticket ido. V
u
aShow sketch of proposed work or furnish 2 copies of separate drawings
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O
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Q Applicant is responsible for contacting the Police Department and CALL BEFORE YOU DIG.
I agree to furnish to the Town of South Windsor the amount of bond or deposit 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 (Pavement Cut Regulations.)
Signed
APPROVED. DATE APPROVED. ;Y DATE
Supt. of Highways Town Engineer
FOR INSPECTOR: Date work started Date completed
Sufficient notification received: yes no Type of repair: Perm. Temp.
Unusual conditions encountered
Material slips attached: yes no Dated for Permanent repair
Signed
Inspector