HomeMy WebLinkAboutTelephone Street Cut Permits Carey Lane 800017 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 03/13/08
GIS ID: 16809999 "'''""""'t< <<" FEE: 25.00
MUNIS APPLICATION# 200800244
J ATION DATE: 03/13/09
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APPLICANq
T.,_ kOCATION
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NAME: go,". ,
CABLE CONSTRUCTION < :'"' i . r:;> 'r :<. DES :;CA `Y LANE
ADDRESS: 405D NEW STATE R( AIY''i' ;4 :`...` >.'• : :a C :. `y`,
SOUTH WINDSOR
MANCHE STER CT 0604
.. 4,- SULLIV- AN AVE
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PHONE
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'I`BiT+TmCSWSPlACE �ALL WORK
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APPLICANT AGREES TO FURNISH THE OLljK 'bfl B�I�17 REQUIRED AND TO REIMBURSE
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THE TOWN OF SOUTH WINDSOR FOR ANY 'E --TOWN FORIIt AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE XPR- IC 1hIT`I .. QAIII R VVIT "AI p WT'L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE
TOWN OF Sb--JTI`T pSR' " `I F,1E .°? RIVIT'I MANUAL.
ISSUM BY DATE INSPECTED INSPECTED BY
3/13/2008 3:51 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: a®a V7 CONTRACTOR: Cact�7 1e �C3l�S
LOCATION: caL q G
TYPE OF WORK: J 4
DATE INSP NEEDED: DATE INSP: 0
INSPECTED BY:
WORK IN
PROGRESS:
AS-BUILT:
INPUT: DATE: ` �
W/2007 Town of South Windsor INPSECTION REPORT 07
' APPLICATION FOR STREET E CAUATtON PERMIT, go
TOWN OF,SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No;
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE,$25.00
Name of Firm Cable Construction Co., Inc. 860-649-8217
Address of Firm 405 New State oa anc es er, Phone No,
Location Of proposed work Y a
Describe fully nature of permit requested Excavatin to expose AT&T telep oie sp ice's a wor
in grass areas.
Starting date
Call Before You Dig No. 081001417 Approx.time for completion
Traffic Services Control` -
Showsketch of proposed wom or f wsh,`
two copies of separate drawing Indicate North This—°ten to 6e filled ouf by
Town.of Sm.ffi'IlVindsor
Pavement Cut
No.Quts
Est.'Slze of Perm.Patch(s)
------------
fst,Pict.Thlda>ess in.
Est.Unit Pike S
Amt,of beposif$
Total Due. by
_ { }Cash t )Check#
?errnenenfPntch
No. Cuts
Size of Patwsj
Final Billing
S
Amt,Due Payee
Amt Due Town
icant ls,respdns1bIi§for conta(*
the ,olive De t-ent1`CB.Y.D.
1 AGREE T4 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 WI• THIS PE 0 THAT i AM FAMILIAR WITH AND WILL A131DE BY THE'RULES AND REQULATIONS FOR
PERMIT$AS O INED
N OF SOUTH WINDSOR'S STREET CUT P•RMI MANUAL.
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Driver's License#: _
PERMIT-SHALL BE KEPT ON JOBSITE AT ALL TIMES