HomeMy WebLinkAboutStorm Street Cut Permits Buckland Road a Permit No. 2510
Date 11/04/1998 flown of South Windsor, CT
Street Excavation Permit
Expiration Date 11/04/1999
Descrip: EXCAVATE TO CONNECT TO EXISTING CATCH BASIN
Applicant Location
Name J & H SLATER CONST CO
Addr. 75 COMMERCE WAY S KLND ROAD AT TOWN SHOPPING
SOUTH WINDSOR CT 060Z4 TYSe c1 Wpp �.t STORM
Phone (860)528-5252
Applicant agrees to f ern l sh th'` T
requi red and to reimbUrae the Town X� .pdsrn �ranhe amount of bond
incurred by the Town fo , m y expenses
A'10t4na � ` "epar fins connection with this
permit and that appi ipat 1sam# 1 iar ; fftfanc��.
regulations for � lf'1 aaide by the rules and
permits �a utltr
Cut Permit Manual .
� e: TOWS 't 'th Windsor's Street
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PERMIT Tp 9'E KEP'T.,'4AI '; bg .I"f T A l:L y.TIMES .
Issued by
Date Completed � `' ��` A
InaPected By
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APPLICATION FOR STREET EXCAVATION P IT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
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Name of Firm 1-- —4l/ 56 L (�FJWL5 �j (f Phone No.
Address of Firm 6e),,IV
Location of proposed work_ f34Gk-LLIA1' 12669 V %OU✓dJ �5/jjy/'>1�� (�,•-�,/jj�
Describe fully nature of permit requested 76'
Starting date /-C-> - Approx.time for completion
Call before you dig no. ���f�1'57c�c� Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut �V
No. cuts
Amt.of Deposit S by
y O Cash O Check#
Cut size after Perm. Patch
No. Cuts
Final Billing $
Amt. Due Payee $
Amt. Due Town $
Applicant is responsible for contacting
the Police Dept. and C.S.Y.D. by date
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 1 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 /� Oate
Tit
D.L.#
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PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES