HomeMy WebLinkAboutCAble Street Cut Permits Between 151 and Permit No. 2571 Town of South Windsor, CT
Date 02/17/1999 Street Excavation Permit
Expiration Date 02/17/2000
Descrip: INSTALL 8' GROUND ROD . R tATv -° 2AMBLEBRAE
Applicant Location
Name COX COMMUNICATIONS �N� ,AND BETWEEN 151&161
Addr. 801 PARKER ST. �' �
06040 CT 06040 T r CABLE
Phone (880)512-5000
�
Applicant agrees f4o h '� '° of ';� l adsor the amount of bond
required and to reimr ie °T� � uth"' 1sor for any expenses
incurred by' the Tows � r �ti � 0111 ce rep r` i n connection with this
abide by the rules and permit and that appi.i, an
ro
regulations for permit' " lit 'i t, = is ,2b� South Windsor' s Street
Cut Permit Manual .
* * PERMIT TO,.rBi TtT ALL TIMES.
Issued by .w. .x itle t G�
Date Completed Inspected By
T APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm �X C���xvhi G o •� ��' I Z- Sl<)
Phone No.
Address of Firm
Location of proposed work
Describe fully nature of permit requested 4 77 F` 'd w
Starting date Approx.time for completion -
Call Before You Dig No. O6,64P Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
9
Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
OCash OCheck#
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
Signed• o Date: ��� �F
Title:— D.L.#•
PERMIT SHALL BE KEPT ON 3OBSITE AT ALL TIMES
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