HomeMy WebLinkAboutTelephone Street Cut Permits Beechnut La 800011 TOWN OF SOUTH WINDSOR, CT
PEI.�IIT NUMBER
STREET CUT PERMIT
DATE: 02/26/08
GIS ID: 08409999 F}4
MUNIS APPLICATIO ' FEE: 25.00
N# 200800176 <y '`*,' y< ;:'' ", I: TION DATE:
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APPLICANTy ;<w 1OCATION
NAME: CABLE CONSTRUCTII7 CO3 ";'.;.;:;..:<'':,'. " ;'`°': <<'.::"``.c ....;'' .
B� CHNUT LANE
ADDRESS: 405-D NEW STATE RQA7'
N' F SOUTH WINDSOR
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CHESTER,CT 0 044Iy` 54
MAN Q"SULLWAN AVE
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SOIL
CT 06
0742734 734
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PHONE
860-
649-8217
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WORK DESCRIPTION: EXCA ` r' 'O. ::T& <>F KPH`
: =s A ALL WORK IN
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GRASS,?,.,4�REA 'R a:f`? :>$; &sd ..
APPLICANT AGREES TO FURNISH THE TVhT=F F :;TI '< '''y "` 'f
,, k� . `` yMOyIO•',F:.BOD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY' E S.EIE`'IrO, qpR 1�!MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE XRPE1��Nl, `yI§L'1t2&mk, 1 I II }p`I ifL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SCIJ II.WIN-PS k--!,S- REF TI'PI$ iTT MANUAL.
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ISSIJED BY DATE INSPECTED INSPECTED BY
2/26/20082:51PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: C
LOCATION: _.._..._ __..
TYPE OF WORK:
--------------
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 6-b
WORK IN
PROGRESS:
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AS-BUILT:
INPUT: C DATE:
W/2007 Town of South Windsor INPSEMON REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT 5)6 x J
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm Cable Construction Co., Inc. 860-649-8217
Address of Firm ew a e o Phone No.
Location of proposed work
Describe fully nature of permit requested Excavating to expose A I&I e ep one s —
in grass areas.
Starting date 02/26/08 Approx. time for completion
Call Before You Dig No. 20080600891 Traffic Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This section to be filled out by
Town of South-Windsor
Pavement Cut
No.cuts
Est.Size of Penn.Patch(s)
Est PvL Thickness in.
Est.Unit Price$
Amt.of Deposit$
Total Due$ by
Cash )Check#
Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
Amt.Due Payee
AmL Due Town
By
Applicant is responsible for contacting
the Police De t.and CA.Y.D. Da
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 HIS PERMIT AND THAT I AM FAMILIAR PERMITS AS OU D 1 WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
WN OF SOUTH WINDSOR'S STREET CUT PE MIT MANUAL.
Signed: ��
Date: a(v 6
Title: W-h 9-�iz_ Drivers License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES