HomeMy WebLinkAboutGas Main Street Cut Permits Clark at Ell Permit No. 2507 Town of South Windsor, CT
Date . 10/23/1998 Street Excavation Permit
Expiration Date 10/23/1999
Descrip: MOST OF WORK OFF OF THE ROAD
Applicant Location
Name YANKEE GAS CL�4�tt� AT
ELLINGTON
Addr. P.O. BOX 1030 �
MERIDEN CT 06450 Type of Wdr GAS
Phone (800)989-0900
Applicant agrees to furnish the 7owrt Sb6wth ; lindtor the amount of bond
required and to re i mb0r,9 t,he' Town 'Off &o t r ,Windsor or any expenses
incurred by the Town � °ratnaue� , epai° 1 ,k' �n connection with this
permit and that applilattt � �' amllar, ,w anc� wfii abide by the rules and
regulations for permit e s i wl F "i � Tows it th Windsor 's Street
Cut Permit Manual . R,
* p RMxT I �"T>` I J SI,T A� Al TIMES.
Issued by
1n pect
Date Comp1 eta `\ _ .. _. ed By
t
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 —� Phone No. �d 2/2-Z23�
Address of Firm 2 QI'PERr G L E /VGU'a
Location of proposed work L T (..l.juf7 — fZ POsT OP i
Describe fully nature of permit requested _—M&MW. Op 6 �/�G• CASM.�'�^�
Starting date /0-26^98 Approx.time for completion AJIS,
Call before you dig no. Traffic Services Control No.
Show sketch of proposed work or furnish TO be filled Out by Town Of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit 4 by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt.Due Payee 4
Amt.Due Town 0
Applicant is responsible for contacting
the Police Dept.and C.B.Y.D. by date
f,...
I AGREE TO FURNISH TOT IE TOWN�C� UTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTH WINDSOR FOR ANY EXPENSES 1 BRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
PERMIT AND THAT 1 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: 6-4:t�2 Date:
C ,�J
Title: c3�JY 2-? D.L.#
PERMIT SHALL BE KEPT ON J08SITE AT ALL TIMES