HomeMy WebLinkAboutTelephone Street Cut Permits Avery Stree (2) Permit N6. 2251 Town of South Windsor , CT
Date 10 1/1996 Street. Excavation Permit
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Expiration Date 10/21/1997
Descrip: REPLACE CABLE FROM POLE TO 'EXISTING SLEEVE
Applicant Location
Name CABLE CONSTRUCTION CO„ AV;ERY ST AT 0RCR,%RD' HILL RD
Addr. 405-D NEW STATE ROAD
MANCHESTER CT 06040 Typo of Work TELEPHONE
Phone (860)649-8217
Applicant agrees to furnish' the Iowa of South Windsor• the amount of bond
required and to reimburse ,the Town of 'Sovth Windsor for any expenses
incurred by the Town for maintenance or repair wort: in connection with this
permit and that applicant is 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 .
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* ",PERMIT TQ,-tBV, KEPT ON JOB SITE AT ALL TIMES.
Issued by Tltle
Date Comp feted Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
A' TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL -�
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm t_l�sajc $J'- � Phone No. Yy— 8�
Address of Firm Ser(9 SJ>, /'(/�� �j� ,c17
Location of proposed work ���ET
Describe fully nature permit requested
�it.,a_...__ Yo C� ILC! aC,J^S7'� Slc��� �O 5s n d�.✓�f
Starting date !d 2-y Approx.time for completion_
Call before you dig no. Traffic Services Control No. --
Show sketch of proposed work or furnish To be filled out by Town of So Windsor
two copies of separate drawing Pavement Cut
Indicate orth Prop.size of cut
No.cuts
6n� Amt.of Deposit$ by
Cash()Check#I
l/
Cut size after Perm. Patch
S/a P,� No.Cuts
h Final Billing $
Amt.Due Payee$
Amt. Due Town $
Applicant is responsible for contacting
the Police Dept.and C.B.Y.D. by date
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REnUIRED 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 STREET CUT PERMIT MANUAL.
Signe // Date:
Title: (/ S i CY�JT `
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES