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HomeMy WebLinkAboutWater Street Cut Permits 100 Cedar Avenu (3) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No 3888 Contra:o.�v�°•"S'P3-Z-SA.R;NI CONSTRUCTION Location P,e#dress- ;:..?50 FSTA,OFF' CE RD Type Work r $NFI` L%., G' 06U2 Ahong Ncs: t827 68`s D a to n s P Ne eded de d S.. Time Insp Needed "' : : Inspected :n s ec d B Work in Progress 77 --- ------- �,+sia6lcd Permit No. 3888 Town of South Windsor, CT Date 11/16/2004 Street Excavation Permit Expiration Date 11/16/2005 Descrip: 'r..•.�•::ks.t..r Applicant Name SPAZZARINI CONSTRUCTi¢N'" CY T. _R`'`:;;. ddr. 50 POST OFFICEtD «n � ENFIELD, CT 060$2 y e © S c t AT' R. Phone (860)745-5683 ;• d .:�:n '. Applicant agree; tb .ft xri' ,5,1 >^the` To " �qf:." Wincf�' tc unt of bond required . ^4::".. .: q and to reinF 'rse:;;:t:h.e �'OV=;:, emu, ki �f' pr.. p.z:;>'a"r ;:,fix. enses U ." . N, P incurred by the Town m&1 t nand""or 'rdpa3.jf c-6- `�zz t7 necti n with this permit and that ap 1'xc: t '3 "' a`ca '1">a ' :''`PFOR "':'v' ' �'. "d'si eke .k)y the rules and regulations for permits as. Cl.iriet UTI is zSqe.:< c d m .fior's Street gr.#, Cut Permit Manual. 12 * * PERMIT TO'"'B*t,XV1 T?.MF' : : Issued b y Date Completed --_—_------- Inspec`ted By za �,� • APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS-DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Phone No. ��dc �{� g� rm �o Address of Fi s o Location of proposed work -- s s Describe fully nature of permit requested �'?cc11Ud�E�al .rcrr,�, r � �� %d� Tocygl Cy� Starting date_7n 2 C%ef Approx.time for completion ! — y. Call Before You Dig No. Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing (� Pavement Cut Indicate North Prop.size of cut U / + No.cuts N, �9 Amt.of Deposit$ by Cash 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 JAM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSORS STREET CUT PERMIT MANUAL r Signed:QQ Date: Title:- PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES Standard Forms\Pennits\Street Excavation Permitdoc