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HomeMy WebLinkAboutGas Main Street Cut Permits Avery Street (3) Permit No. 2620 Town of South Windsor, CT Date 02/19/1999 Street Excavation Permit Expiration Date 02/19/2000 Descrip_: EXCAVATE TO INSTALL 0 .­,S-E`R ) ,,f_, Applicant Location Name YANKEE GAS AE ,` AT DART HILL RD Addr. P.O. BOX 1030 fit . MERIDEN CT 0645ypg ► ©r GAS Phone (800)989-0900 ac Applicant agrees 1:CS fto"'ih of} Sot th Wdsor the amount of bond required and to rei;rrbur � th'e �owt� Muth Wf�dor for any expenses incurred by the To fQr n �r� t' � rr t"ep�d^ wdr - i n connection with this permit and that applr� i' a �. y � iW11_ abide by the rules and regulations for perms is ` s � bW41-`6f=hSouth Windsor' s Street Cut Permit Manual . , * * PERMIT T BE KEP �}N 10�3 ,SITE ^i T ALL TIMES. _. Issued by A t 1 e Date Completed Inspected By j I tip- 3 TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 2620 Contractor YANKEE GAS Location AVERY ST AT DART HILL RD Address P.O. BOX 1030 Type Work GAS MERIDEN CT 06450 P'hons No. (800)989-0900 Date Insp Needed Date Q5 ►�a- p Time Insp Needed Tims TO Inspected By Work in Progress 3 199 Y\ M QLAQ-A c PA-rcc hl . N o- - 5 t toc�Cn�2 ,� <cl s`r uE i d 14A o yE, i 6L MPl+ Input Date ,?C-e—A jf-W PnTuy tl ,a"D vkRto�s sfwT�o of�i�. C-Je-S V-SPUdCW . 1lQPR �.7 3� C~F: CUB I zf- R-Pt&cQ::>. O ti C-rec,j (mac T/fo-1141 T. ac��o APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR • PUBLIC TOWN DEPARTMENT 1540 SULLIVAN AVENUE SOUTH,EEI�VDS000R, CT Name of Firm �Cl1l�¢ Q`� Jv C y c t^f `z Phone No. -2.7- Address of Firm \1 2 —,;? A tas"�' W` n Location of proposed work A y a c + c►�'Uc�c �� �. \\-�c� Describe fully nature of permit requested X �I C��o ���� \� o.�n' L0- Starting date CI`'k Approx.time for completion Call before you dig no. \019g0130\"7 1 7. 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 No.cuts Amt. of Deposit $ by O Cash O Check# Cut size after Perm. Patch No.Cuts Final Billing S Amt. Due Payee S Amt. Due Town S 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 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: Title: �l' Id I n f e D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES 663600 369 663600 - 368800 X I 0 i a C I � D O X i\ I 0 hp rqT ' c R 8s� I fyO�B rJl'S• i T 5 cHATHat! 2•• at 4 i 33 •�n..sr o % X n O % j I .\ 70, © ❑ ❑ ap _,___ ' AVERY Sr• R o AVERY.S-Lw_.. o L R� x Go � G 1J O z QUAIL RUN 7 �s 5 �. y ° .5 z'Sr np lg89 s s co RU� x zsrMp U j� 1 P 10 o O o e p 0 Q k b �3 r N A O 0 x N � 1y z X o S W W X ' OW999 00989C - 000999 � ®t 00969E O n o n NI Ill Hill c m _ C ;; n S . WINDSOR n' � o z �. In6648 - 3688 G o D — 3om o m SCALE: 1 INCH = 88 FEET z