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HomeMy WebLinkAboutWater Street Cut Permits 327 Clark Stree Permit No. 2726 Date 06/22/1999 Town of South Windsor, CT Street Excavation Permit Expiration Date 06/21/2000 Descrip: CK #1763 $614. 56 CK#1766 6 PERMITS Applicant Location Name TRI-STATE EXCAVATORS INC. 032�7 CLARK, STREET Lo� "` y Addr. 97C SYCAMORE LANE MANCHESTER CT 06040 Phone (860)647-9224 TYpe' ofWork WATER Applicant agrees t'ourn�sh the 7awt ofi South Windsor the amount of bond recurred and to reimkur e� to T0Wn of '80uth WL r ( ©r for any expenses incurred by the Town fpr maz enance a- �^epai�r �'�vork in connection with this permi t and that app l i oft �f � w rt� and�<wT� 1, ,abide by the rules and regulations for permisryva l�rd art' tfiToyy of 'South Windsor's Street Cut Permit Manual . PERMIT B€ KEPT O�V j08 SI` ;AT"ALL TIMES. Issued by Date Comp 1 d p Inspected By ---, TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 2726 Contractor TRI-STATE EXCAVATORS INC. Location 0327 CLARK STREET Address 97C SYCAMORE LANE Type Work WATER - MANCHESTER CT 06040 Ph- Q.n6 No. (860)647-9224 Date I nsp Needed 1�7 t at"e, Time Insp Needed T rl „Irrsp* Inspected By Work in Progress aAl 01 .� ol 7777 5 pq M `kw.' y•r bt. . IfiPvt"' Date _ j APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm IV( STATE` L*'�4CAVA70&C I/JC, Phone No. 41~ Cl ZZ4 Address of Firm C_ 9C L - MAi 04CST4'7L e.r Location of proposed work 37-'7 CLAYx. ST t. r Describe fully nature of permit requested iV S A L V tC G (Z TER A Starting date 0 Approx.time for completion Call Before You Dig No.-LOVIqZ 2 3169 Traffic Services Control No. Show sketch of proposed.work or furnish To be filled out by Town of South Windsor two copies of separate drawing j�009 Pavement Indicate North �' Prop.size of cut �o so,8 x �Y No.cuts Z p6 E op Pu M T Amt.of Deposit by Wig {)Cash k�Check# 176.3 0 J Cut size after Perm. Patch � (P � SpaSEP ftTS No. cuts ----w � eym SA&3 Final Billing Amt. Due Payee$ . 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. , f Signed Date: Title:- &_ D.L.#•-17 5'2. d$ PERMIT SHALL BE KEPT ON 3OBSITE AT ALL TIMES Standard ForrngPk mitsLStreet Excavation-Permit-dQc .-_-.._ ___. _ ____--