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HomeMy WebLinkAboutWater Street Cut Permits 22 Charing Road w TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3636 .:` Contr.aC'tor CONNECT:L.;CUT WATER COMPANY Location 0022 CHARING ROAD Address 25 NORTH ROAD Type Work WATER EAST 4i.NDS'OR C'T,, 06088 $hone No (g5q)29 5;.552 Date Insp Needed - Ji 1_� X.M. YIV Time Insp Needed Time Inspected By Work in Progress —92 --- -1 --------- - 7. - --- I Input „Date 4 Permit No, 3636 Town of South Windsor, CT Date 11/20/2003 Street Excavation Permit Expiration Date 11/19/2004XX Descrip: EMERGENCY-REPAIR B tOKEY3:;. WADER"l�1ALN:IN RQApWAY. Applicant Locat 'Qn Name CONNECTICUT WATER COMPANY `' U. CHARING Rp;AD Addr. 25 NORTH ROAD EAST WINDSOR CI 06088 T je q to k WA'IE4 Phone (860)292-5552 Applicant agrees to frnxh`the Town Cf, ScSuthh Windsor the. a,maunt of bond required and to reimburse t � ,Torn £ South W �7ftnro any::;epnses incurred by the Town fir m nC nanCa'"or repair w5j:c zn: Corin:ection with this permit and that applicant as a iiiax. i' axis W1*... de by tYie rules and regulations for permi'�s as out3inedn Che. own''of South td; xidsor's Street Cut Permit Manual. * * PERMIT TO $E I< PT ON« ?OB S.ZTE 'AT ALL TIMES. Issued by �'""� T,itle Date Completed Inspected B NOV, 19. 2003 9: 30AVP LLICONNECTICUT WATER CREST EXCAVATION PE N0, 339• P. 2/2 TOWM OF SOUTH WINDSOR PU13UC WORKS DEPARTMENT TOWN HALL 1.540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of ex-3.3.5".S�"' Address off Finn y� � Phone No. Locaticn of prapcsed work Desalbe fully nature of Rwmit requ 1 �1 Starting date — —. � Appro)L time for completion- call before You Dig No. // TlSffic SMICSS Control No._ Show 51cetch of proposed work or famish tt a Town�u�Windsor two copies of separate drawing Indlcat North � Prop.&a of cut No.cuts , Amt. of Deposit$ by ()Cash()Chedc# Cut size arfier Perm. Patch No. Cuts Final Billing S G AmL Due Payee$ N_ Or7an izr/ AmL Due Town$ Applicant is resport!j�ble for contwdrig by__ date the Police De t. and C.S.Y.D. I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH ►NYNDSOR FOR ANY EXPENSES INCURRED gY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECUON WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS A,,O�NF-D IN THE OF SOUTH WINDSOR S STREET CUP PERMIT MANUAL Signed: .� Date:_ Title: ` �.y>�,���'► -�Gs e�i ©awes-- A.L. •— PERMrr SHALL BE KEPT ON 3013S7TE AT ALL 17MES Smndard Forms\Pemits\Street tvcava4on Permltdw