HomeMy WebLinkAboutDriveway Street Cut Permits 385 Avery St t ;
Permit No. 3858 Town of South Windsor, CT
Date 09/28/2004
Street Excavation Permit
Expiration Date 09/28/2005
Descrip:
Applicant ¢
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Name QUALITY PAVING C }ERY �' EETWRI
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Addr. 194 S. MAIN STR`E :!
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EAST WINDSOR Ci;f0'Kk.08F8.; <•.*I": 4pf.:�.�ijY`'`` z
Phone (860)523-4182 Y.:..
Applicant agrees~. tof < :...:.Wind< >`:; 1e':.
...xariotznt of bond
required and to reimburse tiea` ocA *k` h
' tenses
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incurred by the Towri.,fox rtta k"e nce or,. ep.itotin ti�in with this
permit and that applxc'gnt it. j�a � � �J111 10 .by the rules and
regulations for permit a ";of tl'aneet?. �? z9.f S,p0' .-..W'1,d0or1s Street
Cut Permit Manual. �Zl
* * PERMIT TO xT3 'Kp......JO �1C7 ::i[�Z1'
Issued by — b 6 �✓��ie � :y shitle z :tzs�.
Date Completed --_— Inspected By ���G
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3858 D � .
CORt'Yactor. DUAL ,.Y4 pit.V NG Location 0383 AVERY STREET k`f.s ����� ,,. CO. { n
Type Work DRIVE
`194 '6 '
9i 'r I IS:. 5`f RE E T
" CT`"k,A6088
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y Photo No -Ca.. '523 41 2
Date Insp Needed _Q
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,,., _ � Day Ins' `_�
Time Insp Needed Y' ::..<,' �.
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Inspected
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Work in Progress __ / i `m , $
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TOVI'N HAL L
9540`SUL�,I _AKAV�NUE
SOUTH l� 06,6Oti; CT 06474;
t Name of Firm
Addres�'Of Firrrt `} % Pone No
Lcat`on of pfopo}ed Work
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Describe fullnature ofIregue ed W J d
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�tarting date A orox time'forcom letton '. b
• Cail Before 'qu DIgNo.
Traffic Serviecs Goritroi No,
Show ske of prersed work or furnish
two eapleszof sa to drarVirxt Ililicat North syselrtl n:to be fi ed o h
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'isorn of S h� i dsit
Pay�tpert Gttt°
No cats� x i z �
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1 x. Size of Pat�h(�)
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Appllcantas i espeshslble for coptaetirig; Y•
the{Poiico De t:end C�$Y D, Date
A4R-Ej,TO FURNISH TO TFiE TOV1�N OF SOUTH 1IIIINDSOR THE AMOUNT BONG,RFQUIR D AND TQ REI `B
Tc SUN 4E SN", YYIN�SOR:F -R AN �IuES INCURRED I3Y �,�1 TO ' FOR MAIN TENAN E. , M URSE THE
O INECTION 1ll/ITf i TF IS PERMIT AND Tl AT I Ahit FAMILIAR WITH A D.VI(ILL IDE BY T dR REPAth WORK IN
PERMITS A$OUTLINED N THE TOW t OF SOUTH WIN SOR'$STREET CUT PERMIT MANUA LULES AND REGULATIONS-FOR
.Signed,
Date:
Titter_ JitA h
"Driver's License#: V ,
- PERMIT SHALL BE KEPT'ON JOBSITE AT ALL TIMES t;