HomeMy WebLinkAboutCAble Street Cut Permits 35 Chapin Stree 00,
Permit No. 2643 Town of South Windsor , CT
Date 04/01/1999 Street Excavation Permit
Expiration Date 03/31/2000
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Applicant Location
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Name COX COMMUNICATIONS a dCgPSTREET
Add r. 801 PARKER ST.
06040 CT 06040 ��' a
Phone (860)512-5000
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Applicant agrees to� t�rh` he nd' or the amount of bond
required and to r e i m ua o th r any expenses
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incurred by the Town fit:
r f0fena� ��^ pai � � �i connection with this
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permit and that a p p 1 i oft an ;� fia�i de b the rules and
regulations for permits.- cuth Windsor' s Street
Cut Permit Manual .
* * PERMIT Tr,E T LL TIMES.
Issued by �. ���Nh , J
Date Completed Szl/1 99 Inspected By
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2643 Contractor COX COMMUNICATIONS
Location 0035 CHAPIN STREET Address 801 PARKER ST.
Type Work CABLE MANCHESTER,CT
06040 CT 06040
Phone No: , (860)512-5000
Date Insp Needed Date -,nsR
Time Insp Needed Time Inp
Inspected By
Work in Progress [w)G k- to wAI-s Y-4p tar, �i 1 tooD�
Irpuh Date S'�lz�yy
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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 $25.00
Name of Firm �5� Phone No. IRCO
Address of Firm cL(- Pr Sr-
Location
of proposed work -i" E)
Describe fully nature of permit requested TV SWwa
Starting date Approx.time for completion 1>4V5
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
l No. cuts
5 � Amt.of Deposit$ by
O Cash O 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 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: 1
Title: D.L.#•
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc