HomeMy WebLinkAboutCAble Street Cut Permits 25 Benjamin Way Pe t �No. 3364
Date 08/07/2002 Town of South Windsor CT
Expiration Date` 08/07/2003 Street Excavation Permit
Descrip: INSTALL CATV LIME
Applicant
0 Location
Name COX COMMUNICATIONS
Addr. 801 PARKER ST. ,,. B MIN WAY
06040 CT 06040
Phone (860)432-5211 CABLE
Applicant agree
required and to rei dsor the amount of bond
incurred by the To ut for any expenses
n e l rep in connect i on;,wl th this
permit and that app . ' h abide by the -rules and
regulations for Per u
Cut Permit--Manual . 77A outh Windsor's Street
. ,
* * PERMIT Q Al ALL TIMES. * �
Issued by
Date Completed _ 7 n Inspected Byn
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No.
Location Contractor COX COMMUNICATIONS
Type WorkMILE — 'k " Address 801 PARKER ST.
MANCHESTER,CT
06040 CT 06040
o No. (860)432-5211
Date Insp Needed
�I s
Time Insp Needed
Inspected By ;
Work in. Progress
r/
Date
9 -/90�
02 08: 16a Witch Ent. Utility Div 4130210955 p, 3
APPLICATION FOR STREET EXCAVATION PERMIT _.::..
��D ._ TOWN OF SOUTH WINDSOR 3 --
,'� PUBLIC WORKS DEPARTMENT
TOWN HALL �a
0 1540 SULLIVAN AVENUE
� t
SOUTH WINDSOR, CT ` �
WA
Name of Firm QK „t 1IGAtX)Q Phone No. 19too �1170
Address of Firm V7[,� i :EIM2 i f� 7_,j&3(1 CT
Location of proposed work /51-a6 13e-rn [LA ti- o GJCWi
Describe fully nature of permit requested ' LiAj
Starting date o2. o�. Sa �. ears Approx.time for completion l—3 EK S W[L� e r e r 'f A
Call Before You bid No. _ Traffic Services Control No.
Show sketch of proposed work or furnish To o 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
S ()Cash()Check#
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.
'��J '
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit,doc