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HomeMy WebLinkAboutGas Main Street Cut Permits Barber Hill Y Permit' N6 3431 Town of South Windsor, CT Date, 11/18/2002 Street Excavation Permit Expiration Date 11/18/2003 Descrip: PERMIT FEE WAIVED, GAS CO ARE MANENT PATCH Applicant Location n Coe 6t-S E � Name HENKELS & MCCOY, IN O BY-M141aL _ --- Addr. 985 JOLLY ROAD BLUEBELL PA 19422 AS Phone (508)987-3977 Applicant agrees t pu f S i or the amount of bond required and to reimb me o h r r any expenses incurred by the Town orZ an ai { connection with this permit and that appli a �6-9 ide by the rules and regulations for permit f th Windsor's Street Cut Permit Manual . d A * * PERMIT TO > LL TIMES. * * ' Issued by - e o Date Completed Inspected By TOWN OF SOUTH WINDSOR INSPECTION REPORT j , Permit No. 431 �'' Contractor HENKELS & MCCOY, INC. Location Address 985 JOLLY ROAD Type Work : BLUEBELL PA 19422 y /i ;L w a4 (;V, f'jsc ONN N S, o. (508)987-3977 Date Insp Needed s Time Insp Needed Inspected By Work in Progress I �� 0't" is OJK s ate /�►PPLT /�;"fI$N i i$ TT � VI�TION PERNIT°� TO, }$ T 1H PU�3LT rORK 1D P'q,F fil+ e- f 0 ! LTYlR ►1� N u OR Name;ofPtt01*N _, Address pf Firm it LoceEion 4f;praposdWprk Desbe fuliji naturE of p€rftlit re�"�isted Ills u Sart"rtg date ;' Approx,t"me for ri w .t✓ Call Bfbre YoU D"g.lyp O3 Treffp Servi'es Contfgi.No. '..s Shaw sketch of Propod Wark tivo copes of separate d"�auving , P�avrnent Ind" to No `it er 4(o c�n L, j� � -� =Prop size i, cut 3 }Y Arnt of:Qe�sosit$ by 3 �` ()Cash()Check# �1 rJ trb2f' �t _ut: x e.a si fter Perm. P -atch cuts- Final Bill"hg$ 7) mt Due Pwee 1n Amt.,Due Town Appl"ca"1t"s respotis"ble for.contacbrig (� by date the;poli�e Dc:t:and O,�:Y.D.. I AGREE TO°i=URNISFC TO TH_�T011VN OF SOUTH W,NDSOR THE AMOUNT OF BOND REQUIRED.i4Np TO �2QM(s11R51=THE TOWN OP SOUTH WtNRSOR FOR At�Y EXR,ENS S INCURREp!}Y THE 7 OWNY FAR MAYNTENANCE OR`R F�AI�t WORK IN CONNECTION W�'[H H 5 PERMIT AN, THAT I AM FAMILIAR"WITH SAND WILD ARIA `ICY THE RULES AND REGULA'izIONS FUR PERM TS AS OUTLINEp IN.THE TOWNOF SOUTN WINDSOR'S STREET CUT:FFRM�i;MANUAL. " s S" ned: 1 • 9 ;Title: : D.L.#. PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Standard Forms\Permits\st iet Excavation Permit do-c + k�c