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HomeMy WebLinkAboutCAble Street Cut Permits 117 Bayberry Tr Perm it". No. 2797 Town of South Windsor, CT Date 08/04/1999 Street Excavation Permit Expiration Date 08/03/2000 Descrip: CABLE SERVICE Applicant Location Name COX COMMUNICATIONS 01178AYBERRY TRAIL Addr. 801 PARKER ST. 06040 CT 06040 Type Qf, , W t"k CABLE Phone (860)512-5280 Applicant agrees tya„``furnish :the .T©wn;,`af Saute W"a�dsor the amount of bond required and to reimburse: V'W ,.T ,� ; > $okjt _win wsor`..for any expenses incurred by the Town for fntentc® off, repai 11 r ,i rk in connection with this permit and that appl i;cant ;i<e ,faml1 ,.tr 4i,th and -wi'11 'abide by the rules and regulations for permits at 110,dt'��ne4 in, the Town of .South Windsor's Street Cut Permit Manual . * * PERMIT TO BE KEPT" ON, J©8." SITE AT ALL TIMES. . --'�''r Issued by _ Title 1t�.tll1 � Com 1ete�i Inspected By j Date p - z APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm "�"�J` Phone No. Address of Firm Location of proposed work 1 l 4 (y Describe fully nature of permit requested Me SEtulce Starting date Approx.time for completion. Call Before You Dig No, Sao,, Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt.of Deposit$ by O Cash O Check# W &QL Cut size after Perm. Patch No. Cuts Final Billing$ Amt. Due Payee$ Amt. Due Town$\ Applicant is responsible for contacting by date the Police Dept.and C.B.Y.D. I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED 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. Signed Date: Title: D.L.#• PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc