HomeMy WebLinkAboutDriveway Street Cut Permits 320 Benedict Permit.,,,No. 2363 Town of South Windsor, CT
Date , - 09/30/1997 Street Excavation Permit
Expiration Date 09/30/1998
Descrip:
Applicant j v, � a Location
Name BOUTIN & SONS _ $` 1 , T DRIVE
Addr. 121 WINDSORVILLE R0 _ �� �
BROAD BROOK CT 060 , 4 RIVEWAY
( Phone (860)623-2526
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Applicant agrees of >th �� �, S i
d r the amount of bond
required and to re i mb e o h any expenses
incurred by the Town fobF ` 4�, nan ► � al
g y c y Fy i connection with this
permit and that app 1 i&ice � �a �� � �.; n 1 i de by the rules and
regulations for permits -a4 ] irl d i e � � . South Windsor's Street
Cut Permit Manual . g' r,=
3AV
* * PERMIT TO" E L TIMES.
Issued by
Date Completed Inspected By
I
1
Permit .No. 2363 Town of South Windsor, CT
Date 09/30/1997 Street Excavation Permit
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Expiration Date 09/30/1998
Descrip:
Applicant Location
Name BOUTIN & SONS3OEN�DJCT DRIVE
Addr. 121 WINDSORVILLE ROAD t 4;
BROAD BROOK CT 0601-,6 Typ® of krk DRIVEWAY
Phone (860)623-2526
Applicant agrees to furnish- the Town of South Windsor the amount of bond
required and to reimburse the Town o Boih W�ncr fob any expenses
incurred by the Town for� miin- enano� rpairlk ins connection with this
permit and that app l i cant fi. f at: wi) and `w 'l 1 i de b the rules and
regulations for permi t as outs,i nod `rh, thef"�rr1 f0f Stith Windsor's Street
Cut Permit Manual . = .<
* * PERMIT TO 'BE KEPT OW :JO$ ITE AT,fALL TIMES.
Issued by 7ft'1Q .
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
;- TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
WN 1540 SULLIIVVAN AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm —� S S on Nso)f Phone No.
Address of Firm
Location of proposed work ex -
Describe fully nature of permit requested
Starting date Approx.time for completion
Call before you dig no. y'�, ��� 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
No.cuts
Amt.of Deposit$ by
/ ()Cash()Check#
j Cut size after Perm. Patch
No.Cuts
Final Billing$
Amt.Due Payee$
$
Applicant is responsible for contacting Amt.Due Town
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: &W f
Date:
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES