HomeMy WebLinkAboutGas Main Street Cut Permits 400 Buckland Permit No. 2433
Date 05/14/1998 Town of South Windsor, CT
'Expiration Date 05/14/1999 Street Excavation Permit
Descrip:
Applicant
Location
Name YANKEE GAS °
Addr. P.O. BOX 1030 4Of1 Qt? KLkNL . ROAD
MERIDEN CT 06450 Type pf ....Wprk. GAS
Phone (8o0 )989-0900
Applicant agrees to furrti sh . the Town cif South: Wi nd,sor the amount
required and to reimburse the, Town ofcauth W t ndshr for any expenses
of bond
incurred by the Town for mntengee or`: epair wc?rk in connection with this
Permit and that app 1 'i cant ���e �"am�� "i i:er�, wi��� and wi,'� 1 aid i de by the rules
regulations for permit ;as ouitJined in the Town ,6f ,Sadth Windsor' s Street
d
Cut Permit Manual .
* * PERMIT TO BEKEPT ON ;,1pg `SITE A,T ;4LL TIMES.
Issued by
. 17 e
Date Completed �01 '
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 e r� C s<� r �j i Phone No. r 9
Address of Firm( Pry
Location of proposed work '-} 27-C-1
Describe fully nature of permit requested :N n- cl" s=:
J
Starting date // Y /`I a3 Approx.time for completion , --,.:�,., - A-1
Call before you dig no. t'dy + �"a 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
L-t 4� No.cuts
Amt.of Deposit $ by
OCash{)Check#f
P
Cut size after Perm. Patch
No.Cuts
c;_:e_=_--z,,l Final Billing S
Amt. Due Payee S
Amt. Due Town 8
Applicant is responsible for contacting
the Police Dept. and C.B.Y.D. by date
—
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RQMBURSE 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.
P
Signed: . _ .-- Date:
Title: f' i f A /—/7 c7 ,'1 ! D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES