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HomeMy WebLinkAboutCAble Street Cut Permits 5 Clearview Dri + TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3565 Con :aC` `or"COX°''COMMUNICATIONS Location 0005 CLEARVIEW DRIVE Address 801.>PARKER ST.. Type Work CABLE AAICHE'STE-, CT Date Insp Needed --- -- xiDat:a Zk1sp, , r3 Time Insp Needed ----- `£imp Ind xx Inspected By i W n ` Work in Progress y' —� rn Inpv: .D'ate Permit No. 3565 Town of South Windsor, CT Date 08/07/2003 "° Street Excavation Permit Expiration Date 08/06/2004 Descrip: INSTALL CATV LINE' Applicant L 0 c a tl 6. Name COX COMMUNICATIONS 00Q5 CLEARVZ$W DRIVE Addr. 801 PARKER ST 06040 CT 06040 "P e O Wbft bABLE Phone (860)432-5211 Applicant agree$ to fusish the Tc} sf$ fzflCkl Windsor'th6,amount of bond required and to reimburse the Tow3Y s�f ,rIr far any expenses incurred by the Town '::fox M63ntenance ,9r red axr wo it3'cc4nziect3on with this permit and that applicant `i,s fa�ttk;lia 3ah wy :1: abide by the rules and Yi regulations for permits as,Out fined ar ,.,t}ae Tptvn of S..:. Wndsor's Street Cut Permit Manual. * * PERMIT TO BE: KEPT:; ON Job SITE AI Ali`L TIMES. Issued by GJ. ----- Title Date Completed _—_-------- Inspected By — g�06 03 09: 13a Witch Ent. Utility Div 4138210955 P. 5 t tQ APPLICATION FOR STREET ExCavarroN PERMIT TOWN OF SOUTH WINDSOR -� PUBLIC WORKS DEPARTMENT !� TOWN HALL pD 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm © � d Address of Firm Phone No. Location of proposed work car V1@ CA_) -- ---� Describe fuilY nature of permit requested — , Lrry C S"arting date C:./edf Call Before You Dig No. 3 �� Approx,time for completion Traffic Services Control No. e rn�•h{�� Show sketch of proposed work or furnish two Copies of Separate drawing To be f out by Town of South Wlndsar j Indicate North aiqment Cat --- Prop,size of cut No.cuts AnIt.of Deposit$ b Y D< ( )Cash()Check # Cut size after Perm. Patch I jNo. Cuts Final Billing$ i Amt. Due Payee$ Amt. Due Town $ AYDc'icant Is responsible for contacting t~e Police Deot. and C.8.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 8Y THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONN4 ^ERti"e i AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN TH TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. CnON ED I THIS E Sinned: Date• D.L.#: PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Stardard Ferrns\Permits\Street Excavation Permit.doc -S 03 09: 14a Witch Ent. Utility Div 4138210955 P. 6 t Mass: 888-344-7233 Ugsufe.com Pswrd DIG SAFE 0<3�vE Mass 1p# z o0 3 CLEARS�79� ���B�R 3 201647 0N 8/i i 7:00 �onn:800-922.4455 CM-Com Pawrd WITCHEQUIP Contractor#11 CITY /t STREET � 67 el(40,11— DATE /Q 3 ADDRESS17 �C yy nx "CROSS ST wig c tt HANGEIFDIFFERENT 24�, CATV WORK MARKED ? YES a 3a�a A�C.oS�e ."> yp ri.5x `y,jLi{, t:x T- r� { r r r