HomeMy WebLinkAboutTelephone Street Cut Permits 124 Brookfi Permit'_ No, 3325
Date 06/19/2002 Town of South Windsor, CT
Expiration Date 06/19/2003 Street Excavation Permit
Descrip; INSTALL TELEPHONE CABLE TO c OUSE
Applicant
Location
Name CABLE CONSTRUCTION
Addr. 405-D NEW STATE RO 0 LD STREET
MANCHESTER CT 0604 ?
Phone (860)649-8217 TELEPHONE
Applicant agrees
required and to rem
th tnd or the amount of bond
incurred by the Town th r any expenses
permit and that appli en pas connection with this
regulations for ide by the rules
perms 1i tl` and
Cut Permit Manual . S uth Windsor's Street
* * PERMIT TO F/
LL TIMES.
Issued by A,IA D
Date Completed
Inspected By .0 Q1
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3325 Contractor CABLE CONSTRUCTION CO.
Location Address 405-D NEW STATE ROAD
Type Work
oW `�� w�, MANCHESTER CT 06040
o No. (860)649-8217
Date Insp Needed
s :2, 6"
Time Insp Needed
00
Inspected By
Work in Progress
t t `
OR CA
Date
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 C Afd -'- 00.v 57 A- L)0-%ID PI-) a, Phone No. ' 60— G y 9- 8 Z/7
Address of Firm fD5` .y Ecv 57-p9- r-� R?_�; /J�.9 «r zz-g e- 7- Ea(0 U Vo
Location of proposed work Rx!o,,it 0 S r Q 45 G 77 S 77D E-u i S ri y 9 7�4,
Describe fully nature of permit requested g e- v c A-- L-'4 —
7-A L�A-'•p,6 tv e G/f-8e-, To �-),-cL✓ eo-41-r- CoLiie-4i- 'T
Starting date 6 zf- o Z Approx.time for completion a&4
Call Before You Dig No. o"2150A a 5VI 7 7 V/ 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
l No.cuts
lfi/� c fd rl
Amt.of Deposit Po $ by
Cash()Check#
P ZBF 77 S 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: Date: 0
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc