HomeMy WebLinkAboutGas Main Street Cut Permits 702 Avery St TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2529
Location 0702 AVERY STREET Contractor YANKEE GAS
Type Work GAS Address P.O. BOX 1030
MERIDE CT
Phone No. (800)989N090006450
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APPLICATION
OWON OF SOUTH EXCAVATION PERMIT
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm 1�nw �L as r- Phone No. ��irJO� q y a
Address of Firm l a- o f Lev e C E- +l�%J
Location of proposed work ''7 0 a A\,3e f l 1 < r
Describe fully nature of permit requested 1+15 fiGZ` Ck Cl--� l CSC
Starting date Approx.time for completion Oil g
Call before you dig no. ) I a Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
44"1®2
Indicate North Prop. size of cut
No.cuts
Amt.of Deposit $ by
O Cash(1 Check#
Cut size after Perm. Patch
r No.Cuts
Aver' Sty Final Billing $
I<-5` �I
Jam: _ _ �2 S i E L L Amt. Due Payee $
/Z4
I i G A— REq�` Amt. Due Town $
Applicant is responsible for contacting
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 R€MBURSE 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.
�Signed: �avvl Date: 2'S 1 rnp
Title: Ch IYUA1 a-'Vu D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES