HomeMy WebLinkAboutGas Main Street Cut Permits 240 Beelzebu Permit No. 2291
Date 02/10/ 1997 Town Of South Windsor, CT
Street Excavation Permit
Eh:p i r' at iorr Date 02/ 10/ 1998
Descrip:
i Applicant
Location
Name YANKEE GAS "0240" PEEL 4E[iUH ROAD
Addr. P.U. 80X 339
ENFIELD CT 06082 Type 6f 'Work CAS
Phone (860 )292-2236
Applicant agrees to furni�p�`the: Town ,of Sou�.h° Windsor the amount of board
required and to reimburse the 'Tower of� South Windsor for any expenses
incurred by the Town for maintenance or 'r pair Mark in,' connect ian with this
permit and that applicant Js farmliiar with and will abide by the rules and
regulations for permits as' 'outiined in" the Town cif Sodth Windsor ' s Street
Cut Permit Manual .
PERMIT TU 8E °k.E,pT ' A7,.A 11 LL TIMES.
Issued by (Title
Date Completed ................
� Inspected By
Qoo APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
• PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Phone No.
Address of Firm j/:Z P'e.osp c ? ifiGc.
Local work —A G Z c+ i t� S
309 O
Des�' lure of permit requested /�'XGs�y/¢i/ l/y /�O ffp ov!/Y �/L�
=� />a��' ar /�• p . :.v %cJ /.v5 %75�e G �/�S S
Starting date f /7✓T� /9 F 1 Approx.time for completion
Call before you dig no. Traffic Services Control No.
Show sketch of proposed_work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut ~
7-YN/G14 C 11u SE.2 T N E ' ' G i¢S S .2 v;C
Tft/1 ovc f e,e vrCi_ No.cuts
Q v S Amt.of Deposit$ by
(1 Cash O Check#
�( Cut size after Perm. Patch
I
/zo c, s S v
No.Cuts
IFinal Billing$
'6 F G 2 B o i3 ,�►v I I Amt. Due Payee $
J� ti I Amt.Due Town $
Applicant is responsible for contacting
the Police Dept.and C.B.Y.D. by date
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: 2'/o
Title: /`�G + D.L.#
PERMIT.SHALL BE KEPT ON J08SITE AT ALL TIMES