HomeMy WebLinkAboutCAble Street Cut Permits 37, 45, 68, 76 Permit No. 2582 Town of South Windsor, CT
Date 02/17/1999 Street Excavation Permit
Expiration Date. 02/17/2000
Descrip: INSTALL 8 GROUND ROD , CA'�V r.=" QURBON ST
Applicant - Location
Name COX COMMUNICATIONS' �� � wETWEEI e ,�145, 68&76
Addr. 801 PARKER ST.
06040 CT 06040 Typ'O
;M piA lorl CABLE
Phone (860)512-5000
Applicant agrees �f �► tsh� T � of v h `*I�dsor the amount of bond
required and to rei�rrb are �t e o� C ut W`Q, sor , for any expenses
incurred by the Towt��� i ,rT46k s in connection with this
permit and that If Y 4f iI �, abide by the rules and
regulations for 4s5-bl)lt sSouth Windsor's Street
Cut Permit Manual .
* * PERMIT TG BE KEl T E3N Jt�B 9 TE AT ALL TIMES.
Issued by Title _
Date Completed Inspected By
of s�o�
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALE.
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $2500
Name of Firm �� d", -t5 Phone No.
Address of firm
Location of proposed work � .�7 03,f-7 7--
Describe fully nature of permit requested 1 K
Starting date Approx.time for completion -
Call Before You Dig No. Z, 2og Traffic Services Control No.
Show sketch of proposed work or furnish To be filled.out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
O Cash O 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.
1 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: '// — --
Title: D.L.#: T —
PERMIT SHALL BE KEPT ON 3OBSITE AT ALL TIMES
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