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HomeMy WebLinkAboutGas Main Street Cut Permits 335 Clark St ~ TOWN OF SOUTH WINDSOR INSPECTION REPORT V Permit No. 3909 Contract•-pY YA E ,y GAS Location $ � d'c reps k 112� RQS t-CT HILL RD Type Work 71A.,SO,Ff CTk;.06088 242�'' Date Ins .,. p Needed --------------- Time Insp Needed Inspected B ----- — s,�r y` p s � ��• < � f Y Work in Progress . 4:�a::•xa rx ;fix ...y�::a• £• ------_L ✓F<:;•r7Sc;�'•C�..,",�': � M.- o::»<' .:>i>ir.•rj.�'-� --mot+-.�;'.,'='� 9 . .i rf'•. 1`ZL,p•U t r k0 Permit No. 3909 Town of South Windsor, CT Date 03/30/2005 Street Excavation Permit Expiration Date 03/30/2006 Descrip: INSTALL GAS SERVICE TV I Applicantavc"ation % x Name YANKEE GAS Addr. 112 PROSPECT HI�LL AD E. WINDSOR CT P6,. t4f Wat-IC C Phone (860)292-2242 x N Applicant agre s ,tq u ft'th `ZO th Wixld� kses dniount of bond required and to reimburcTown q S2Todsor f 3f2y eCpenses incurred by the Taw4.:.$o ' ii'"P to p.p. �work �s}',��neLt on with this PPli�,?s? �f3k e .b :t. permit and that a V., y e rules and regulations for e ` g p ihn'-�o, as...oii . ; r :< 1;. h ,'; s* ',TSe?;uth Wi d or s Street Cut Permit Manual s �; k errtf 3 y' * * PERMITtT IC ON ysf LL `III{E$.t Issued by --- _ G � nT kit, Date Completed u as "'J i 'vim rvK 5 I KEET EXCAVATION PERMIT C► TOWN OF SOUTH WINDSOR -39 PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm . i\? �� Address of Firm phone No.� D — 9z-_�.s A � 14 iT , Location of proposed work 3 j Describe fully nature of permit requested c5�16 N( r „ 11�� )It old J �i'�FF ,�- - GJ//l I-t y G 0 t,D L Starting date Call Before You Dig No. i^`, "J 00 Approx.time for completion_ 2 _ Ay Traffic Services Control No. Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be filled out by Town of South Windsor Pavement Cut No.cuts cc-) ro'vq�' �, Est..Size of Perm.Patch(s) f�,�KVf C,F Est.Pvt.Thickness in. Est:Unit Price$ Amt.of Deposit$ Total Due$ by J Cash( )Check# 3 j Permanent Patch . $ No. Cuts Size of Patch(s) Final Billing Amt.Due Payee (} Amt.Due Town By Applicant is responsible for contacting the Police Dept.and C.B.Y.D. Date 1 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. Date: 3— 3© Title: Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES