HomeMy WebLinkAboutGas Main Street Cut Permits Collins Cros TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3324 Contractor YANKEE GAS
Location „{?r .00 ;, E :IPS ,CROSSING. Address 112 PROSPECT HILL RD
Type Work GAS E. WINDSOR CT 06088
No. (860)292-2242
Date Insp Needed
s 03
Time Insp Needed
3a
�M
r -
Inspected By
Work in Progress Co.�
Gor��c� o M 3 va
311
`" Ah.-
ROG CIAA, Date
Permit No. 3324 Town of South Windsor, CT
Date 06/18/2002 Street Excavation Permit
Expiration Date 06/18/2003
Descrip: INSTALL GAS SERVICE TO FUE EHIND HIGH SCHOOL
Applicant Location
Name YANKEE GAS L CROSSING
Addr. 112 PROSPECT HILL
E. WINDSOR CT 060 4 AS
Phone (860)292-2242r
Applicant agrees o ` t T d or the amount of bond
required and to reim th r any expenses
incurred by the Town fo en pai connection with this
permit and that appli ide by the rules and
regulations for permi in in , uth Windsor's Street
Cut Permit Manual .
y ni' i'. pl
* * P RMIT TO ALL TIMES.
Issued byA - e ����. �NC�•
Date Completed Inspected By de, t...c R �'
**
(CALL BEFORE YOU DIG - CT) 06/11/2002 15:50:22
-`'q -C4 -CW
_____ ____________
-OT20-SW SWINDS _T5 -GV
_____________________________________________________
***** ROUTINE *****
TIME. . 15:48 DATE. . 06/11/2002
REQUEST NO. . . 20022401408 0~ ^��
we-°-~
LATITUDE. . 41. 8407306 LONGITUDE. . -72. 5536956 toy
| TOWN
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm Q o 1C_ C-7 as
Address of Firm 1( fU3 ,ct Ii r Phone No. Q a-a y a
Location of proposed work it
Describ fu�llXX natu of rmit requested
W. i GIF10o T, n
Starting date �, I v
Call Before You Dig No. DOaa p y Approx.time for completion a / p d-
Traffic Services Control No.
Show sketch s proposed work or famish Tube filled out by Town of South Windsor
two copies of separate drawing
Indicate North Pavement C►+
Prop.size of cut
No.cuts
Amt.of Deposit$ by
Cash()Check#
Colli�S
C(bs t f5 Cut size after Perm. Patch
No. Cuts
nJ Final Billing$
Amt. Due Payee$
Amt. Due Town$
Applicant is responsible for contacting
the Police De t. and C.B.Y.D. by date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
SOUTH WINDSOR 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 OF
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. THE
Signed: 0 I U
Date:
Title:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\PermitAStreet Excavation Permit.doc