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HomeMy WebLinkAboutDriveway Street Cut Permits 91 Berle Roa Permit.No. 2463 Town of South Windsor, CT Date 07/10/1998 Street Excavation Permit Expiration Date 07/10/1999 Descrip; Applicant Location Name BOUTIN & SONS 4Q� 1E ROAD Addr. 121 WINDSORVILLE ROAD,' a BROAD BROOK CT 06016Z, DRIVEWAY Phone (860)623-2526A Applicant agrees tQxrrr�s h � � Windsor the amount of bond required and to reimbwrie 'thr� dwn` B'da � sarcr any expenses incurred by the Town forienafe pa� �. #'Cc� ; connection with this permit and that app 1 i carat : fmfi Tr w ands >� l abi de by the rules and regulations for permitsKK®S s©i ,hTow �(th Windsor's Street Cut Permit Manual . d = t * * PERMIT TO"�'BE, 1P +1 °TB AT', Ask TIMES. Issued by Date Completed TrectedBy 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 Location of proposed work Describe fully nature of permit requested rA Starting date 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 No.cuts Amt. of Deposit $ by O Cash O Check A Cut size after Perm. Patch No. Cuts Final Billing S Amt. Due Payee S Amt. Due Town $ Applicant is responsible for contacting the Police Dept. and C.S.Y.D. by date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RQMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S•UT WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: Title: D.L.N PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES