HomeMy WebLinkAboutGas Service to 2 buildings Street Cut Pe TOWN OFSOUTH' WINDSOR INSPECTION REPORT
-Permit No. . 3237 - - Contractor YANKEE GAS
Location t 0435 CHAPEL ROAD Address 112 PROSPECT HILL RD
TYp_) Work GAS E. WINDSOR CT 06088
Phone, No. (.860)292-2242
Date Insp Needed e,t ris a p..
"T i me I n s p Needed - - --�-= - -= i t11� I ► p /t flly� —
Inspected By
Work in Progress
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Input ��. _ Date 42 _
Permit No. 3237 Town of South Windsor, CT
Date 12/07/2001 Street Excavation Permit
Expiration Date 12/07/2002
Descrip: INSTALL GAS SERVICE TO TWO BLDGS.
Applicant Location
Name YANKEE GAS ,_07435 ,GHAPEI ..ROAD
Addr. 112 PROSPECT HILL Rp
E. WINDSOR CT 06088 Type `Qf Work, GAS
Phone (860)292-2242
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Applicant agrees t .furni sh . the Town .'f S-Outh kWi ndsor the amount of bond
required and to re i mb rse 1i 1 ow» Cif ,� Uth W7 n�8cor. ,fa:r any expenses
incurred by the Town or r a t enat a r� i*-> pair: c r k 14 connection with this
permit and that applicanta► iir wft
i andrT abide by the rules and
regulations for permit as r ,tl,in�d fin "th fi.arF`, f. So, th Windsor's Street
Cut Permit Manual .
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* * PERMIT TO 6t t4EPT 4flN; .�Oit` SITE AT ,ALL TIMES.
Issued by R(Z/AJA _ Tit l e
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Date Completed Inspected By
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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 $2500
Name of Finn YANKEF Phone No.
Address of Firm 11 A 05yict 5�, FA-sr WIA{�So ,
Location of proposed work, �_35 GHAPEL &D
Describe fully nature of permit requested TYSL S S y a S c R.0
Starting date o _ time for corn A•Y
n... , a ns
Call Before You Dig No, pol Traffic Swvkw Control`No.
Show of proposed work or furnish r
two copies of separate drawing
435 c li tt R))
Indicate North (1/ Prop.sire of cut
No.'aits
sec+iif;C y5 .OH"Eck} Arrrt.of Deposit by -
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S�rv)to Cut Size after Perm.Pa"
wll.4 A-iTgft ro it
N°. tits
Matt vANDe , ROM � STL &45 M FirW BilAng S
Amt.Due Payee$
Amt Due Town$
Applicant is responsible for contacting by date .
the Police DepL 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 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: EI L D ELEILIfE R D.L#:
PERMIT SHALL BE KEPT ON 30SSrTE AT ALL TIMES
Standard Forms\Pennits\Street Excavation Permit doc