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HomeMy WebLinkAboutGas Main Street Cut Permits Cliffwood Dr Permit No. 2256 Date 10/29/1996 Town of South Windsor-, CT Expiration Date 10/29l1997 Street Excavation Permit Descr i p: NEW GAS MAIN FROM LAWRENCE TO 'ISLTPF WOOD ESTATES Ar)p I can t -at i On Name YANK.EE GAS Addr. P.O. BOX 339 t;LIEF`WO AT LAWRENCE ENF:IELD C`l- 06082 Phone (860)252-2236 TYae of; Work. GAS Applicant agrees to furni,sl� thQ Town,, of South incisor the amount of bond required and to re i mbu r-se the ,lawn cif South Windsor for any expenses incurred by the Town for maintenance Qr repair word: in connection with this permit and that applicant is farm,,liar with. and ,wiII abide try the rules and regulations for permits as outlined in the Town of ` South Windsor's Street Cut Permit Manual . ' ,P+ PMIT Tyr. �E KEPT' ON ' 'JOB S,-ITE AT ALLMES.Issued by Title Date Comp I e ql Inspected By SOWN OF 4SOUl '-O WINOSOF? .INSPEC . Permit Na. Location 2256 1 TON REPoR-1 rYpe Work ASFFWOnU OR contractor � �A A7' LAWl cNCE Address YANKS S P.O. 130X 339 Ph N L`NFIE:LD CT ©ate Ins a• (S6p a6CS2 p Needed )�g2-2236 me Insp Needed "�Y� Date InsP. nspected By _._ r � �---�----`_,'.-�---- t �me War k 7n Progress �_ _ date APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm y4Wt<e-e7- Phone t(o. Address of Firm ;L All<< (-1 14OXci Location of proposed work C'L"?retx-. P16'0 Describe fully nature of permit requested t_ alsQ M)d 7N Starting date o .e !-6 Approx.time for completion 3 Call before you dig no. t94 O Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of So. Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt.of Deposit$ by ()Cash(1 Check k Cut size after Perm. Patch d jNo.Cuts I Final Billing 6 Amt.Due Payee $ Amt.Due Town $ Applicant is responsible for contacting the Police Dept.and C.B.Y.D. C i2on (�r'e 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: Date: Title: sn/�.�i D.L.S 100, PERMIT SHALL BE KEPT ON J013SITE AT ALL TIMES TOWN OF SOUTH WINDSOR INSPECTION REPORT PROJECT: DEVELOPER: STREET: �,, �� ��, CONTRACTOR: DATE: © TIME: — WEATH : WORK IN PROGRESS: AREA OF CONCERN: SPECIAL INSTRUCTIONSs