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CAble Street Cut Permits 89 Clearview Dr
TOWN OF SOUTH WINDSOR INSPECTION REPORT ti Permit No. 3554 Contractor COX COMMUNICATIONS Location 0089 CLEARVIEW DRIVE M ¢ <Addre:s5, 801:::kVARXER ST,., Type Work CABLE MAN HE5TER CT b 440 �T 06040 Phorie..N© 432 52:11 Date Insp Needed --------- Da t� 3 rasp t1� Time Insp Needed -77 ��- ► Inspected By Work in Progress tl —Lir�'1� Seta Input Date � -� — Y Permit No. 3554 Town of South Windsor, CT Date 07/23/2003 Street Excavation Permit Expiration Date 07/22/2004 Descrip: Applicant Locatidn Name COX COMMUNICATIQNS O(3'89 CLEARVTEW DRTVE Addr. 801 PARKER ST. . 06040 CT 06040 Tjjlje NO k rABLE,i; Phone (860)432-5211 ji Applicant agrees to,.:.,fuxnish the Tc�kza raf , aut:h Wincso the amount of bond required and to rexmbUrse fhe, ToWzl . Bou1� ( �nsp� :ar any:'expenses incurred by the Town for malbt:tnance or epair 'work 'ir Con coon with this permit and that applican Is <:famrl'za w 13 anc3'"ay11 abiCie,.:by the rules and regulations for permi'.ts as outlined. n th,e Toyrn of Sotitk� sor s Street Cut Permit Manual. * * PERMIT TO BE'INEPT ON �7OB<` ITE' AT ALL TIMES. Issued by _ it e Date Completed _-- Inspected B Jul 23 03 06: 58a Witch Ent. Utility Div 4138210955 P. 1 3�s q APPLICATION FOR STREET EXCAVATION P ado TOWN OF SOUTH WINDSOR ERMIT -� PUBLIC WORKS DEPARTMENT --- y• ! l�� TOWN Hall 1 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT Name of Firm i1ellp CA td Address of Frrn Phone No. 420 — -ocation of proposed work_ escr:Je `ully nature of permit requested .i Starting date ears Call Before You Dig No_�a4,��3d p/�ds Approx.time for completion Traffic Services Control No. r pry 5.`�ew sketch of proposed work Or furnish r,vo copies of separate drawing TO be fed nut b Town of Sou h Windsor I Pavement r I Indicate North ---,_,.gut i - Prop.size of cut i No. cuts / Amt. of Deposit$ by V g , p, �- ()Cash()Check# Cut size after Perm. Patch No. Cuts Final Billing$ Amt. Due Payee$ Amt. Due Town$ A-.-`icant is responsible for contacting ;he Police Dept. and C.B.Y.r) by date 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 'E.RY'IT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PER C'v'G'N OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. MIT5 AS OUTLINED IN THE Date: ��a 3 Q .._ . D.L.#: ERMrT SHALL BE KEPT ON]OBSITE AT ALL TIMES --ard Forms\Permits\Street Excavation Permit.doc - Jul 23 03 06: 58a Witch Ent. Utilit�j Div 4130210955 p. 2 v a t ?123s:388-344.7233 D'g$$fe.MM Pswrd023w DIG SAFE 17930 N,as51D# 2 003 3001605 00 1 CLEARS '.onn: NUMBER L/. 6O� ON 7�28 7� Conn:600.922-4455 �ftn CBYD.Com Pawrd Wv VVITCHEQUIP Contractor#1187 CITY DATE �- 403 STREET ADDRESS rj r `1 e CROSS ST CHANGE iE DIRFERENT 24,E CATV VIIO 6, RK MARKED ? YES I i I •1 i (o L ...... ...._....._.._.__._w w_. _ _.