HomeMy WebLinkAboutCAble Street Cut Permits 229 and 249 Bro f
.Permit No. 2568 Town of South Windsor, CT
Date 02/17/1999 Street Excavation Permit
Expiration Date 02/17/2000
Descrip INSTALL 8' GROUND ROD�,F ' j A_6 "— OOKFIELD ST.
gn,Applicant '� s � Location
Name COX COMMUNICATION, -Q� ' � �
��T 49 CORNER ON ALEXAN
Add r. 801 PARKER ST.
06040 CT 06040 ypp VV r k CABLE
Phone (860)512-5000 ° A
o
Applicant agrees i= h�� of dsor the amount of bond
required and to rei,'ftur e fo ci �*" outhl so for an�„ �� � ��r y expenses
incurred by the Tow�i°�o � 4"� rep ; in connection with this
permit and that appliarl�r °hr�1 abide by the rules and
regulations for perKit, � �. South Windsor's Street
Cut Permit Manual . 014
ro, `
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* PERMIT TKK61�° IT ALL TIMES.
. `
Issued by
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR CT
FEE $25.00
Name of Firm C— ns ' �s Phone No. �� /ate
Address of Firm
L cati of pro -sed wo, Q.
Describe fully nature of permit requested s+ rock
Starting date Approx.time for completion -
Call Before You Dig No.1FV707d® 10465' -Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ 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. .
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: Dater_f
Title:— D.L.#•
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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