HomeMy WebLinkAboutMiscellaneous Street Cut Permits Chapel Perrmi tw No. 2401 Town of South Windsor, CT I'
Date 02/18/1998 Street Excavation Permit
Expiration Date 02/18/1999
Descrip: TOWN CONTRACTOR BORINGS ALONG CHAPEL
Applicant
Location
4,
Name GZA GEOENVIRONMENTAL TICC ' p�
Addr. 27 NAEK, ROAD
VERNON CT 06066
Phone (860)875-7655 .:, " �Jor AMISCELLAN
�, �; � ,
Applicant agrees �'t. �Wf4d6or the amount of bond
required and to t1,0 r-fdr any expenses
incurred by the Town i•c r -yi: ene' r rpai r #� n;� connection with this
permit and that a p p 1 i dq! � ands a�� l ,abide by the rules and
regulations for permits t l � and av bd�` r th Windsor's Street
Cut Permit Manual .
* * PERMIT TC) E 'KE€?'C J:Qt wT A ""L TIMES .
Issued bye
Date Completedrispected By
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2401 Contractor GZA GEOENVIRONMENTAL INC.
Location CHAPEL RD Address 27 NAEK ROAD
Type Work MISCELLAN VERNON CT 06066
Phone No. (860)875-7655
Date Insp NeededDate Insp. -�Z�i8'/f�
Af
Time Insp Needed TiM6 Insp.Inspected By
Work in Prog ress _ �a�i.�i6s ,� ��,� �. ,Q, �-� '„ 1,✓.r, .��G �F �,� t�
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Input Date
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APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm a0 Phone No.
Address of Firm I
Location of proposed work i urtia14 Describe fully nature of permit requested L� v / S. W
Starting data i7s � Approx.time for completion a
Call before you dig o. O-7 D I(l,?5 fd Traffic Services Control No.
Show sketch of proposed work or furnish To be Filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut /✓
6CJ � 1 No.cuts
Amt.of Deposit$ by
Cash()Check#I
CVt size after Perm. Patch
C",'`q��✓1 No.Cuts
Final Billing$
Amt.Due Payee S
Amt.Due Town S
Applicant is responsible for contacting
the Police Dept.and C.S.Y.D. by date
1 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:
001,
Title 0
D.L.N
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PERMIT SHALL BE KEPT ON JOSSiTE AT ALL TIMES