HomeMy WebLinkAboutStorm sewers and catch basins Street Cut r � �,,, tp4' e� y�r .:+r✓;a, t:ir" :ikf,+,Ey...t,,a..�:' .,.T� .��'. �.'-
BOND TOWN OF SOUTH WINDSOR 571
Am't Req. PUBLIC WORKS DEPARTMENT Date
TOWN HALL
hAm It on File 1540 SULLIVAN AVENUE Permit No.
_ SOUTH WINDSOR; CT 06074
Date of Expiration Permit Expires
APPLICATION FQW PERMIT
FEE $10.00 �`•�. t_ _:< ,
Name and address of applicant J .M.J . CONST.CO Phone No. 282-0628
Location of proposed work BANCROFT LANE
Describe fully nature of permit requested CUT PAVING IN ORDER TO PERFORM
_REPAIR WORK SUCH AS: STORM & SEWER & CATCH BASIN
Insurance on file with Town X yes no Date policy expires
Name of Insurer
o Approximate time for completion 1 6.DAYS Desired starting date �3_30-89
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Show sketch of proposed work or furnish 2 copies of separate drawings
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Applicant is responsible for contaar�g the Police Depar erit and CALL BE O LEIYOUDI
I agree to furnish to the To of Sout / indsor the o nt of boL or posi`( regpir6d and to
reimburse the Town of South Wi sor for. ny�expenses i curre by the To fo �ain fiance or'repair
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work in connection with this pe 't and +that I am ar with and ab� e theules and
regulations for permits as outlined ' the Town of S th Winds`>-4ave 69"ut Regujadons.)
Signed
APPROVED. DATE APPRO f E ATE
Supt. of Highways To n gin
FOR INSPECTOR: Date, work started `� 1 Date completed
'o
Sufficient notification received: yes no Type of repair: Perm. Temp.
Unusual conditions encountered
Material slips attached: yes no Dated for Permanent repair
Signed
Inspector