HomeMy WebLinkAboutGas Street Cut Permits 27 Bramblebrae Dr Permit-. No 3224 Town of South Windsor , CT
Date —,1 ,,-t0/31 /2001 Street Excavation Permit
Expiration Date 10/31 /2002
Descrip :
Applicant Location
Name YANKEE GAS ,0027 BRAMBLEBRAE
Addr ., 112 PROSPECT HILL RD
E. WINDSOR CT 06088 Tf�Miprk GAS
Phone (860)292 -2242 "
Applicant agrees to fur-nf sh "th® " 'Qwn,'''OT ab�rth°'W1 ndsor the amount of bond
required and to reimburse; the Tdwn of $outhiinclsar for any expenses
incurred by the Town far: matntOnaIn,ce or "repair work- Iry connection with this
permit and that app l i Can1a.- sami i i"&r 'ih and, "w -1 1. ab�i de by the rules and
regulations for permits as ciu1~11,p in'"1 hS' Town '.�of :south Windsor' s Street
Cut Permit Manual .
* PERMIT* "TO BE * -"�P T, ONJOB �, � T-E AT "ALL TIMES.
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Issued by - - Title '.-vi
Date Completed � Inspected By ,�-
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 3224 Contractor YANKEE GAS
Location 7 BRANGLSORAg`' Address 112 PROSPECT HILL RD
Type Work GAS
E. WINDSOR CT 06088
Phone No. (860)292-2242
Date Insp Needed Date Insp.
Time Insp Needed fiIme :Insp;
Inspected By yQ o
Work in Progress ey-,�% �%L� r( � � Lt.
Input �',G� Date
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APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN-AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm °` S Phone No. 6 t)- 9AU
Address of Firm e J-ap,
Location of proposed work
Describe I¢fully nn permit quested AcX
C _
Starting date -* AppMx time fnr aompi on M " 0
Call Before You Dig No. Traffic Services Control No.
Showsket sketch of proposed work or furnish II Q To af Sots Windsor
two copies of separate drawin
Indicate North Prop.She of cut
No.cuts
ant.of Deposit$ w
c�Cash Check
Cut size afar Perm.Patch
f No. Cuts
............ ........... ox.WtMan Final Billing$
Amt.Due PaYft
Q AmL 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.
Signed: /vt. cry-a.Govrr'.' Date: /0 31
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Perrnitdoc