Loading...
HomeMy WebLinkAboutGas Main Street Cut Permits 307 Clark St Permit No. 2881 Data 10/21/ 1999 Town of SoutrI Windsor, ExIliration Date 10 20 Street Excavation Per, CT Descri / 000 Permit p: INSTALL GAS SERVICE TO NEW HOUSES App- icant Name YANKEE GAS Location Addr. 112 PROSPECT HILL RD 0307 CLARK STREET E. WINDSOR CT 06088 Phone (860)292--�2242 T ype of Work GAS Applicant agrees to furnish the Town of So required and to reimburse the Town ©f South oil Y the Town for maintenance or `re uth Windsor the amount of bond incurred b Windsor for an permit and that applicant is Y expenses pair work in connection with this regulations for familiar with and will abide b permits as outlined !n the Town of South Windsor ' s Cut Permit Manual , Y the rules and Street PERMIT TO aE KEPT ON JOB SITE AT ALL TIMES. Issued by - _�• _ - _. Title Date Completed --- Inspected By r e6e6 1 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 ` Or CL S Phone No. ( (Oo1 a q a — a a y a Address of Firm Location of proposed work q q t 3 r '�• Describe fully nature of permit requested 1 Q S Ck t ( Cas 5e f'V 1(—e,5 -�b -N)0 1`1&-LL) S Starting date ((� vZ(n R 7 Approx.time for completion Call before you dig no. 19q 9 443 6-9-1L// t 12113020LTraffic 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 aqq Yp 30—( ()Cash()Check# Cut size after Perm. Patch No.Cuts 1 I GQ(k- S4' Final Billing S Amt.Due Payee 0 ! —K-3k5' Amt.Due Town 8 Applicant is reap ibYa for c ntacting the Police Dept. and C.B.Y.O. by date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RiIMBURSE 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 Date: r O a i 9 DT Title: `_Jw . V (Jn_ D.L.K fll� oZ9a-c'/alc5 PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES