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CAble Street Cut Permits Intersection of
TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4149 Location FROM INT. CLARK ST. .may T4HEELERAe3?lres$VO4D Cont t.or 6L y A QR DRIVE Type Work CABLE E >• ANSTON R: 029" � Paone No ,j40 .y,461 8420 3' Date Insp Needed -------- Da t Time Insp Needed — --------- T�me I rzsp, Inspected B Work in Progress Aa't e 1 w Permit No. 4149 Town of South Windsor, CT Date 03/09/2006 Street Excavation Permit Expiration Date 03/09/2007 Descrip: RELOCATE CABLE-PLE1k'SANT'<;.VAL.,:E'TC`"`gp' EG .NS: UCT:'ON Applicantocatld Name TELE-NETWORKS E137$4 INT. CLARK STr 'TO W?I Addr. 36 SYCAMORE DRI\FE - EELER+ CRANSTON RI 02921 Tyke"©£ ,jgoY CABLE Phone (401)461-8420 jj Applicant agrees. to €urn5sli,:the T,yswtr pf Sout Windcx the.,aosnt of bond required and to reimburse :the �o'wra c£ St�uth `[4 �3fso. f�;�+ expenses incurred by the Town,:. fear ma• : . ..... e or+'r"e"pair"''*cork.,s1n r ippn6ctipn with this permit an d tha P t a 1` c.. n 3f:s ?. ..;.wzb1� a�xcT a*zIl abide by the rules and regulations for permits as;. ot�tl; °,.t,h2,Taw# ,f' SQ.0 A 4%.Adsor's Street Cut Permit Manual. * * PERMIT TO'"SE ICiP ON' 7O8,...5.T.S>> AT..A£Ta;:;:<.TIMS. Issued by �e �r( ")A u\ Date Completed Inspected By _ 83 86 89 23 84 87 90 1088 I 85 88 91 '� \ � SW2225 0 2 8 I �' W Sw22 5 13 18 25,97 r SW22 50 0 1 14 19 C 1 SWB14-01 ti� �v` 17 4 15 20 490' �. NB85CDJL05E6 N G 16 21 201 1 B14B 2 17 22 W2 501a8 = i — 202 2 II 32A9 47 �a 155 M12 8 17 18.08 Sw So 32 0 CS2/0 20/17 8 '0' \ 89.9V THRU 25,97 C) 80 ti� '1 0 R 8 490 �, 101 103 SWB 14-01 SWB 14-21 1 7 10 2 104 III 25095 pa 8 3 / 2 0 11>, o\ 3 9 SWB14-21 4 4 10 72CJP—L❑5C9K �IVIT 160, 5 11 2 B14B III S6_ — 1 66, 6 12 25-17 47 17 31,07 II ® 454' I 25096 3/0 7/6► o BLDG 1 1 130 88,2V THRU 1 � 1 W � A—H M8CD $a \ . ► .��� 3 25097 � S 22250078 .E 80 o N BLDG 2 l��' / �'��� CC) Su 2 079 341. N °� 14 2 A_H 2 25098 z M 8 0046 1 \ APPLICATION FOR STREET EXCAVATION PERMIT 9 TOWN OF SOUTH WINDSOR e � PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 Name of Firm FEE $25.00�,ET��1Q Address of Firm A ��� � _ Phone No. �'�� �'y�� U 1 Location of proposed work C P A SRVI t 2 S� 6-0'�-9 D"1 Describe fully nature of permit requested Starting date Call Before You Dig No. Approx. time for completion 1 i)A� Traffic Services Control No. Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be filled out b Town of South Windsor Pavement Cut No.cuts Est.Size of Perm.Patch(s) Est.Pvt.Thickness in. Est.Unit Price$ Amt.of Deposit$ Total Due$ by ( )Cash( )Check# Permanent Patch No. Cuts Size of Patch(s) Final Billing Amt.Due Payee Amt.Due Town Applicant is responsible for contacting, By the Police De I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR R CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL AB REGULATIONS FOR ABIDE BY THE RULES AND O REIMBURSE THE PERMIT AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. REPAIR WORK IN S' ed: Title. Date:_n1 Wl'I1Z d 0y�o PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Driver's License#: