HomeMy WebLinkAboutReplace fire hydrant Street Cut Permits (2) 800025 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/27/08t-" f:: <:<:::
GIS ID: 06309999 FEE: .00
MUNIS APPLICATION# 200800323 ' ,¢s ; :,f , CATION DATE:
APP
7
LICANT
�` ^ `LOCATION
NAME: CONNECTICUT WAT :QO +PANS .
. .. ;...;.. :::A RY SWEET
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ADDRESS: 25 NORTH ROAD
OUTH W
EAWINDSOR,
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EAST WIND SOR CT�
UL•... �". 4. TVAN AVE
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PHONE 860-6233355- ,.:r:
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ESCRIPTION
WORK D REPLAGI IR Y Rt TT', .... . . ".P,:/ '
APPLICANT AGREES TO FURNISH THE T&VN,, A.
RE Cx ,Ff ICI UIRED AND TO REIMBURSE
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THE TOWN OF SOUTH WINDSOR FOR ANY`FEISES`23IJR ';< FpI FOT< INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APP: I €�N,1`TS, : III AIZ< I F T ND GAL€:'ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S 7T I% SIt ""S]l T U RMIT MANUAL.
ISSUED BYJ DATE INSPECTED INSPECTED BY
3/27/20082:54PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: bb�S CONTRACTOR:_._ C W
LOCATION: A\j-PJA� q%-
TYPE OF WORK: J&w
DATE INSP NEEDED: DATE INSP: ° ,j
INSPECTED BY:
WORK IN
PROGRESS:
AS-BUILT:
INPUT: C% DATE: 9
O
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION. PERMIT Da —
TOWN OF SOUTH WWNDSOR — P
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH M140SOR,CT 06074
�'-r F'I;E "2 ""j
'Name of Firm ,��e_��x.
Address'of Firm � /Y Phone No. s�-
LoCahOn Of pos wo pro ed
. , � ®p
De=lbe JWIY nature of permft requested v r
Starting date _T j 2
Call eakre You Dig No plftry Approx.HMO for Completio 2
Traffic Services Control No.
Show ake"Of prOPoeed work or f+unish
twO COON of separeb drwMrr0 indicate North
Pavement Cut
No,outs
Est'Slza of Perm.Pats)
Eat.Pvt T'hidrneae`in.
Est.Unit Price S
. AY9l jl ST Amt.of Depose
Total Due i by
I
t car c check 0
U PimWentPatch -
Axel m r , Na. Ceuta
EXCt Via T 0-4 Size Of Paws).
l2rXIS" '
o� Final al ft
,Nrw Girl' 1>� i
J�YI.�11Ly .
i Amt Due Payee
Amt.Dire Town
Apallcant is re ..Irate for contseft
' Po oe t.and C.S,Y.D.
. i AC3RF.E TO FURNISH TO THI; TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND,REQUIRED AND TO RSIMBURSIr THE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED 8Y THE TOWN FOR MAINTENANCE OR Rt;PA1R WORK 1N
C PERMITS
IQN WITH THIS PERMIT AND THAT i AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR
PERMRB $TI-INED IN TH O N OF SOUT�i WIND80R'S STREET CUT PERMIT MANUAL,
3igtaed• h � '
•7 ,IW Dais•
Trtle• .
Driver's License#;
PERMIT SHALL BE KEPT ON JOSSrrE AT ALL TIMES
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