HomeMy WebLinkAboutCAble Street Cut Permits 88 Cliffwood Dr TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3481 Contractor COX COMMUkICATIONS
Location 0088 CLIFFWOOD DRIVE Addrs' 8'01 PA&T$ ST
Type Work CABLE M TCFEES..TER C '.
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Date Insp Needed
Time Insp Needed ___------� TIme � p
Inspected By
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( Permit No. 3481
Town of South Windsor, CT
Date 05/05/2003 Street Excavation Permit
Expiration Date 05/04/2004
Descrip:
Applicant Locatio'
Name COX COMMUNICATIONS `' 0088 CLkkWO61?:"D2I�IEa; ! 3
Addr. 801 PARKER ST.
06040 CT 06040 Type p Work CABLE
Phone (860)432-5211
Applicant agrees to furnia the SSUYi7 of Sbu h W1nCTSor tYie amount of bond
required and to reimburte the Tbwn o Sol �7�ndsa2 oz any"Expenses
incurred by the Towm forma-Int'enance or r,ep-xir work ,n cohnecti,on with this
permit and that applicant as"Familiar sa� YT #d 'abide,b}z the rules and
regulations for permits :as ou'tlined;r'zn tEie Tgwn::,of Sgaith Windsor s Street
Cut Permit Manual.
* * PERMIT TO B$,,K$Pi ON. JOB SITE AT 1LL TzIES.
Issued by -- 110
Date Completed _--__-- Inspected By =�
• ~'ai-j 02 03 10: 41a Witch Ent. Utility Div 4138210955 p. 3
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR F
PUBLIC WORKS DEPARTMENT 3
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm t'9?G 1.. G Phone No.
17 sip �11740
Addrpss of Firm k rs iM
Location of proposed work RE 'ClIfEwondA7.
Describe fully nature of permit requested : -:G; "�-tr _i e-A-T-v` L,ti;�=
Starting date 03 Approx.time for completion
Call Before You Dig No. e9 / O SoZ Traffic Services Control No. J
Show sketch of proposed work or furnish To be filled out by Town of South_ Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
No. cuts
VZO
A _byAmt.of Deposit$
p( � S� ()Cash ( ) Check#
Cut size after Perm. Patch
No. Cuts
Final Billing $
Amt. Due Payee$
Amt. Due Town $
Applicant is responsible for contacting by date
the Police Dept. and C.B.Y.D.
I AG EE"0 FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
_v ; N `VNDSOR 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.
Title: -Lk a4kmh D.L.#'
PERMIT SHALL BE KEPT ON 30BSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc
May 02 03 10: 41a Witch Ent. Utility Div 4138210955 p. 4
Mass:888-344.7233
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