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HomeMy WebLinkAboutDriveway Street Cut Permits 911 Avery St Pe,rmi~t No. 2437 Date 05/29/1998 Town of South Windsor, CT Street Excavation Permit Expiration Date 05/29/1999 Descrip; Applicant Location Name BOUTIN & SONS Addr. 121 WINDSORVILLE ROAD t9pS °AVERSTREET BROAD BROOK CT 06016 � Phone (860 )623-2526 Typef © DRIVEWAY Applicant agrees to furnish thQ ToWh of S©tath Windsor the amount of bond required and to reimburse the: 'down of South Wtnds6r .for any expenses incurred by the Town for ►rYa ntenan04 pr -epai r' irk i n, connection with this Permit and that applicant s famjljar- wilth ,aNd wi, 1 abide by the rules and regulations for permits As ou'tiined in theTown of South Windsor 's Street Cut Permit Manual . * PERMIT TO BEEPT 'p(� ,}pg, ';6'ITE, ALL TIMES. Issued by Date Completed � _ Inspected By APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR, PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Phone No. Address of Firm Location of proposed work L Describe fully nature of permit requested Starting date Approx.time for completion Call before you dig no.12 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 Indicate North Prop.size of cut 3 ,l "7 No.cuts/ Amt.of Deposit S by ()Cash(1 Check i Cut size after Perm. Patch No.Cuts Final Billing S Amt. Due Payee $ Amt. Due Town 8 Appi cant 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 RF,1MBURSE 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 STREET CUT PERMIT MANUAL. Signed: Date: 4002,1� Title:' l J D.L.+ PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES