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HomeMy WebLinkAboutWater Street Cut Permits 33 Beelzebub Ro Permit No. 3538 Town of South Windsor, CT Date 06/26/2003 Street Excavation Permit Expiration Date 06/25/2004 Descrip: SAW CUT RD & EXCAVATE TO INSTALL IT:EW WATER SERVICE Applicant Location Name CONNECTICUT WATER COMPANY., 00h BEELZEBUH. ROAD'' Addr. 25 NORTH ROAD EAST WINDSOR CT 06088 Type of 5�ork �dATER Phone (860)292-5552 Applicant agrees to furnisYf the ToVig of Baugh Windsor the amount of bond required and to reimburse the ::ToWa cif youth Win_8oz f©r any>expenses incurred by the Towf1 for nce or Yepair work in conriecton with this permit and that applzcarit �s <: amiliar 3vztki ad 'wYll abide.:by the rules and regulations for permits as outlined;ir� 1. the Townrof South Windsor s Street Cut Permit Manual. * * PERMIT TO BE IC.EPT ON LIOBI SITE AT ALL TIMES. 7 / Issued by Date Completed Inspected By TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3538 Contradtor CONNECT°I:CUT WATER COMPANY Location 0033 BEELZEBUB ROAD Address" ;i25 NORTH: ROAD,. Type Work WATER EAST WINDSOR. CT:..06088 Phone' No (8 )6. 292-5552 e Date Insp Needed ___________ Dat Lir p --- � Time Insp Needed Time IYt.Sp Inspected By Work in Progress l 7 -------------------------------- ___ _ —input ..^Date — JUN" 2b, 2003 9: 28AM CONNECTICUT WATER CO N0, 157 P. 3 APPLICATION FOR STREET EXCAVATION PERMIT -71 TOWN OF SOUTH WINDSOR � PUBLIC WORKS,DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSORr CT FEE $25.00 Name of Firm T � Phone No !)- of Firm M2XII-v proposed work .33 �G 2 "/�r✓j,� lc'� S. 6a/r7Q'sale Describe f�nature of pe�requeged_ E « L24-1 t�� r 2)(C-A�lra�s� r Starting date 6&AZ= Approx.time for cornpietion Cr o Ca'l Befbre You Dig No. b2aot���©©9f��3` Traft Services Control No. S�owr slcetrh of proposed work or furnish T_o be-filled out by Town of South Il�ndsor two copies of separate drawing N Panlilent Cut Indicate North Prop.size of cut 1`33 /5fL2Gri�'_/A S vl( No.arts �r I Amt.of Deposit$ by ()Cash()Check# ' Cut size after Perm.Patch No. Cats 0 Final Billing$ Amt. Due Payee$ uV f�iQ IYJf�Y �XGe1 v�Tl DAY Amt.Due Town$� App9cant is responsible fnr contacting by date the Ponce Dept and C.B.Y.D. 5 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN of S, '179, WINDSOR FOR ANY EXWNSES INCURRED BY THE TOWN FOR MAINTENANc1�OR REPAIR WORK IN CONNEMON WITH THIS ? ERM7 AND'"t`HAT I AM FAMILIAR VIIITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OW11NED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL ?JXti SMALL 13E KEpT ON JOBSITE AT ALL TIMES Standard Forms\Permils\Sheet Excavation Permitdoc I in! I � I i I J� I i i] 1 /6A .i