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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2962 Contractor JDC ENTERPRISES INC.
Location 0073 CLIFFWOOD DRIVE Address 2640 BERLIN TNPKE
Type Work MISCELLAN
NEWINGTON CT 06111
Phone No. (860) -
Date Insp Needed .51.7 Insp.
Time Insp Needed ;me crisp, , r7
Inspected By _==
Work in Progresses
Input Date 37/1�21�rm
P Or.Phit No. 2962
Cute 05/08/2000 town of Sofjth Windsor. (,T
Street Excavation Permit
Expiration Date 05/08%2001
Descrip: FORM & POUR SIDEWALKS FOR DRIVEWAY
Applicant
. Lacat�or�
!Jame ,JDC ENTERPRISES INC.
Addr. 2640 BERLIN TNPK;E UO73 CLIFFWOOD DRIVE
NEWING"fON CT 06t i i Type o-f Wo.r.k- MISCELLAN
' -
Phone (860 ) � � �
Applicant agrees to f urr.i sh" the Tows of South
the amoun
requi red and to re irrqurse the; ;Town cif South Windsor.nfoarany expensesof band
incurred by the flown for Maintenance or t"epa i r, Worbt i n connection with this
permit and that applicant is familiar with and will abide by the rules and
regulations for permits as ,Qutlined .in the Town Of South Windsor s Street
Cut Permit Manual ,
* PERMIT TG BE KEPT ON J08 SITE AT ALL TIMES.
Issued by rz N P, _ Title 9 r G
Gate Completed
-_------____. Inspected Rv
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
- TOWN HALL
1540 SULLIVAN AVENUE
SOUTH VIfINDSOR, CT
FEE $25.00
Name of Firm —s' cl• C, �� S ers
Phone No. 64 Y7-- V,50-c�
Address of Firm Yo �,`.v --rho Nam,
Location of proposed work 773L; ok
E '
Describe fully nature of permit requested �
Starting date Approx.time for completion_ e
Call Before You Dig No. 2 Qrp c-*.. !-g n,06EIVTra{fic Services Control No.
Show sketch of proposed work or TfumislyTo be filled out t��Town of South Windsor two copies of separate drawing
Pavement C��'
Indicate North Prop.size of cut -
No.cuts
Amt.of Deposit$ by
O Cash O Check#
Cut size after Perm.Patch
No. Cuts -_
Final Billing
Amt. Due Payee$ -
Amt. Due Town
Applicant is responsible for contacting by dateL.
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.
Signed _
Date' 141O
Title:- � 411 ,� D.L.#,
PERMIT SHALL BE KEPT ON 308SITE AT ALL TIMES
Standard Forms\Permits\Street gnavatio_Qermit dog-- - ---_ ----_ - ---- ------ - --.- __