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HomeMy WebLinkAboutGas Main Street Cut Permits 353 Clark St Permit No. date 2268 0i✓03/ 1997 Expiration Date Town of South Windy�y , 07/G3/1998 Street tk;cavation Permit , CT Descrip GAS SERVICE Applicant Name YANKEE Addr, AS Location P.O.Po ��x a;�s ENFIELD CT 353 CLARK ST Phone (860)2�32_ 06rJ82 2236 Type of Work GAS Applicant agrees required and to reimtO furnish the Town incurred h _, Town O f South South Windsor the Permit Y the Town fu-r maintenance or Windsor for amount of re and that appljcant repair any expenses bond gulations for ?$ familiar work in, connec Cut Permit Manuaperrra7ts as Out�l7`ned 'inwthe and rill Y then with Town of abide de b th a s South Windsh rules and s Street PERMIT T BE KEPT ON JOB S1TE ALL AT Issued �y __- .rt Date Completed 'l t 7 e -- 111spected By TOWN OF S0.)0 N WINDSOR : NSPEG 1 ICON REPORT t Permit No. 2268 Location 353 CLARK Contractor YANKEE GAS Type Work GAS Address P.O. BOX 338 ENFIELD CT 06082 Phone No. (860 )282-22.3C Date Insp Needed Date I;np ' Time Insp Needed Time Ins p. - .� v Inspected 8y Work in P r o g r'e c Input ; ,�•'c�.r_,C"" _..�.e�: ._ .-������ Date APPLICATION FOR STREET EXCAVATION PERMIT t PUBLIC WORKS DEPARTMENT g TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR CT Name of Firm / / � - CJ' Phone No. Address of Firm J/-2- 4L(((- ,U)/ )t:> DES Location of proposed work Describe fully nature of permit requested hS7 C C;A' ..4 Starting date - 3- % Approx.time for completion % Call before you dig no. .7© /O 0 (0 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 'IA— No.cuts jam_ GL., Amt.of Deposit$ y t ,A s :�6zVit,t O Cash O Check# Cut size after Perm. P ch 2J No.Cuts C'z ;c , Final Billing $ Amt. Due Pe ee $ Amt. Due own $ Applicant is responsible for contacting the Police Dept.and C.B.Y.D. by date 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. Signed: `� % 2`` Date: -�" � / Title: ✓ ' r D.L.$ PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES TOWN OF SOUTH WINDSOR INSPECTION REPORT ROJ.LCT: -s•T.���--���. r�,e�. za 6c3 DEVELOPER: TREET: �y� � �,� sT CONTRACTOR: ��/��- ATE._:� -TIME:SATHER � 9.•sz • • INSP: )RK IN PROGRESS: -r�7�Gd�lB�./y� is h .•�'o s' cs.-i �sy c T� rA OF CONCERN: CIAL INSTRUCTIONS: «,c,►- ��s,v 6m- .,�/boa G �.�.G.��•y y /�/� �p� AV-