HomeMy WebLinkAboutTelephone Street Cut Permits Dawn Drive 800013 TOWN OF SOUTH WINDSOR, CT
PERNAT NUMBER STREET CUT PERMIT
DATE: 03/13/08 ">
GIS ID: 26409999
FEE: 25.00
MUNISAPPLICATIO .`; ;'F
N# 200800240 ""' ''''fiiyi,:: ;EXPIRATION D
«;> �>i - < ^:...�: xt}T. ATE: 03/13/09
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APPLICA ` " f:4 .< .. :........
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LOCATION
NAME: CABLE CONSTRUCTION CO'IN '`w;r4, �.f"' n
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3RES: ` .: :AWN DRIVE
ADDRESS: 405D NEW STATE RAIY
:. fi .. TAN o SOUTH WINDSOR
M ANCHE
STER CT0y0"'.64
< I:3LI,TVAN AVE
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<,. TNT��� CT 060I 42734
PHONE
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TION:
ON: EX AV- ``T` t— HLI_C.�S"-ALL
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-' GRAS.S'_AR1. ;W %'>t. . M'
APPLICANT AGREES TO FURNISH THE TOWN;<OF§QUTH :'; F I IO .. E I`ID REQUIRED A�. Q Q AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY' XPEl{;SES�( :: (} N FO kNTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE 'PIAN1 I <: : IIA1t:;VyI `AND VVI'LF`ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF 90;Q�I VINI�S.,' ;STREF UT' R II I MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
3/13/20082:38PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: FOOD 13 CONTRACTOR: Cab le CO 115if,
LOCATION: �v� 'n x-\ \4- _
TYPE OF WORK: 4-T v--T
DATE INSP NEEDED: DATE INSP: 08
INSPECTED BY: RD
WORK IN
PROGRESS: J, m,� -ro 50kJ avr�� e - S d
AS-BUILT:
INPUT: L�_ DATE:
4d�, o�
W/2007 Town of South Windsor INPSECTION REPORT 07
f APPLICATION FOR STREET-EXCAVATION. PER �p
TOWN-OF SOUTH WINDSOR MST tJ mod.
PUBLIC WORK&DEPARTMENT
Permit No.
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH-WINDSOR,CT 06074
FEE $2500
Name of Firm ion Co Inc. - 86M49-8217
Address of Firm ew fate Road, Manchester, Phone No,
Locatlon,Of propo ed work Dawn Drive
Describe fully nature of permit requested
to:e & teeneis or—
ass areas;
Starting daterill
-
o. r competCaefor YDoN on
Traffic-Service's Control No.
Show sketch'o(propossd work or famish
two copies of separate drawing indicate North Z�tis sEtnn so be 611ed eyf by
Town of South'Windsor
No.cuts
Est.Size of PQrm.Pateh(s)
Est.Pvt Thickness in.
Est.Unit Price
Arta.of Deposit, -
TOW,Due$ by
)Check#
Pe tmwnt'Pat<:ft
Size of Patch(s)
,Bigirg
$.
Alta:Due Payee
Arta Dw Town
By .
irtt`is re nsible for tacting
the Pol"oe nApf.aril G,B.Y D
I AGREE:TO FURNIS f i Tp THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED
TOWN OF SOUTH HVINDSOF2 FOR ANY EXPENSES INCURRED BY THE TOWN FOR,A�AINI E AND TO`REIMBURSE'THE
_..
COIVNEC.7lOM WITH.TMtS iT.AND THAT I AM FAMILIAR WITH AND WILL ABIOS BY THE RULES AND.REGCJLAIONS',FOR
PERMITS TLIN D, NANCE OR REPAIR WORK
TOWN OF SOUTH WINDSOR'S STREET CUi PERM T"MANUAL,
Dater f
�d
Title:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES