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HomeMy WebLinkAboutGas Street Cut Permits 35 Cambridge Driv r Permit No. 2341 Date 108/08,/1997 Town of South Windsor, CT Street Excavation Permit Expiration Date 08/08/1998 Descrip: GAS SERVICE Applicant Location Name YANKEE GAS 0'036 CAMBRIDGE DRIVE Addr. P.O. BOX 1030 MERIDEN CT 06450 Type pf yip GAS Phone (800)989-0900 Applicant agrees t4 furnish the Tawh of Soui;h 'W1 the amount of bond dsor required and to reimburse the Towra . of GO th Wi;nastvr .for any expenses incurred by the Town for maintenanc ar t^epair w©r1� in'' connection with this permit and that applicant 'is �fami ar, wi j and l ide by the rules and regulations for permits as outlined in the Town Cut Permit Manual . Qf...South Windsor 's Street * * PERMIT TO 8E KEPT C}N JOB S'ITE, gT ALL TIMES, * �n Issued by / Date Completed Y -- -- Inspected By i APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm o,_cN.k Phone No. CkZ--12 7 Address of Firm \\Z Location of proposed work .� ' Describe fully nature of permit requested '—"S— r eg- (Src5 g 'r c -i L C e- Starting date Q "7 Approx.time for complation � rJn Cail before you dig no. i 31 m 1 Z4 Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of So. Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut ` No.cuts Amt.of Deposit= by O Cash()Check#1 ` Cut size after Perm. Patch 'Qr o�soSct.c ..sc r'V- a r ccr, No.Cuts Final Billing$ Amt.Due Payee$ Amt.Due Town$ 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 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: Title• � D.L.#f PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES