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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2957
Location CINNAMON SPRINGS Contractor TRAY SCAPES LANDSCAPING, LLC
Type Work DRIVEWAY Address SANTO&TRISTAN TUDISCA
435 WEST CENTER ST
Phone No. MANCHESTER5CT 06040
5338
Date Insp Needed
_ Pate .Insp.
Time Insp Needed - _- -
-- - - Time Insp.
Inspected By
Work in Progress
input ------- _
Date
Permit N o. 2957 —.._—_...———---._._.._._,._..._.�.._._`.._._.
Date 04/24/2000 Town of South Windsor, CT
Street E<cavat,ion Permit
Expiration Date 04/?_4/2001
Descrip: PAVE PARKING
App 1 i cash.
Location
Name TRAY SCAPES LANDSCAPING, LLG
Addr . SANTO&TRISTAN TUDISCA CINNAMON SPRINGS
MANCHESTER CT 06040
'hone ( 860 )533-9668 Type Of Work DRIVEWAY
Applicant agrees to furri i sn the Town of south Windsor the amount
required and to ► e i mt�urse the Town of South W nh W o unt of bond
incurred by the Town for maintenance or repair work Inrconnectionswith this
permit and that applicant is familiar with and will abide by the rules and
regulations for permits as outlined it) the Town Of South Windsor ' s Street
Cut Permit Marjual .
* PERMIT TO BE KEPT, ON .JOB SITE AT ALL TIMES.
Issued by ��-`''+
Titlem <7
)ate Completed ----
- Inspected By
APPLICATION FOR STREET EXCA . _
TOWN OF SOUTH WINDSO
WORKS-D ON PERMIT
_ PUBLIC DEPARTMENT
TOWN "ALL
I540 SULLIVAN AVENUE
SOUTH WINDSOR, GT
FEE$25.00 -
Name of Firm TQ
Address of Firm -LAV Phone No. cil
—
Location of proposed work T
Describe fully nature of permit re
Starting date _ I.-a J_ ;Call Before You Dig No.a000
I4 --Approx.time for completion
A o ` Traffic Services Control No.
Show sketch of proposed work or famish
two copies of separate drawing
_ _. To hn T�Iled ent by'Tnw
of South in sor
Indicate North /f L A./ A m.ter r,.+
"i k So— �f Prop. size of cut
No.cuts
V -
J Amt.of Deposit$ by
'l {)Cash{)Check#
Cut size after Perm. Patch
S� No. Cuts _
Final Billing$
Arrit. Due Payee
Amt. Due Town'$
Applicant is responsible for contacting
the Police De t,and C.B.Y.D.
by date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSORR-THE AMOUNT
SOUTH WTO FUR FOR ANY EXPENSESTWN INCURRED.BY THE TOWN FOR M
OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
TIONS FOR PERMITS AS OUTLINED IN THE
Signed: -
Title: P Date:
D.L.#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit doc