HomeMy WebLinkAboutCAble Street Cut Permits Cheshire Drive Permit No. 2743
Date 06/29/1999 Town of South Windsor, CT
Expiration Date 06/28/2000 Street Excavation Permit
Descrip:MAIN LINE CABLE REPLACEMENT -:. E HIRE DR. &CADBURY RD.
(THRU ROAD)
Applicant
Location
Name COX COMMUNICATIONS
Addr. 801 PARKER ST. � � ���� NIRE & CADBURY RD.
06040 CT 06040
Phone (860)512-5000 of 6`ikC CABLE
Applicant agrees tofu
required and to reim6ru � the T � of 6�6u � dor the amount of bond
incurred by the. Town for $� th t1nr fqr any expenses
Permit and that appl i+ i1 � en pair o ' "� connection with this
regulations for permi n r 1 .abide by the rules and
Cut Permit Manual � nti TwdsSvuth
Windsor's
Street
* * PERM I T
TOE � IE ' T .BALL TIMES.
Issued by
Date 'Gomp 1 etd -
``� Inspected By
djg3
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1S40,SULLIVAN AVENUE
SOUTH WINDSOk CT
FEE $25.00
Name of Firm 14 'e Phone No.
Address of Firm R T
Location of proposed work c,
Describe fully nature of permit requested i 1v , AJ L q n1 a/y
Starting date Approx.time for completion
Call Before You Dig No. Q 7,220 1 a o Traffic Services Control No.
Show sketch of pro sed w or mish To be filled out by Town of South Windsor
two cog, drawi g
Pavement Cut
Indicat Prop.size of cut
No.cuts
Amt.of Deposit$ by
O Cash O Check#
e
Cut size after Perm. Patch
No. Cuts
Final Billing$
r Amt. Due Payee$
J
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:
:2�-
Date: C/O
Title: D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard forms�Perm ts�Street Excavation Permit.doc