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HomeMy WebLinkAboutGas Main Street Cut Permits 55 Collins C TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 2717 Contractor YANKEE GAS Location 55 COLLINS CROSSING Address P.O. BOX 1030 Type Work GAS MERIDEN CT 06450 Phohe, No. (800)989-0900 Date Insp Needed Dane Lnsp Time Insp Needed T%ra Insp, Inspected By Work in Progress p - -�- '��? 2/c72 a r Z /ZOOS Date 7 dll�i� Pe ,mi t-No. 2717 Town of South Windsor, CT Date 06/18/1999 Street Excavation Permit Expiration Date 06/17/2000 Descrip: INSTALL GAS LATERAL UNDER ROAD Applicant � "� Location Name YANKEE GAS 55 161�1_INI CROSSING Addr. P.O. BOX 1030 a w MERIDEN CT 06450 p ;; �, Ym �`�n � off. W ..k GAS Phone (800)989-0900 f� Applicant agrees to Zia the to Sor the amount of bond required and to reimbldrpe,-�r4 °h ow o dC any expenses incurred by the Town for enter pfk Jh connection with this permit and that app 1 c fat and'�A*i l l a i de by the rules and regulations for permi aA, � � � To oUth Windsor 's Street Cut Permit Manual . ' * * PERMIT 1p° E f� P� f91 ;5 AALL TIMES. Issued by �� � Date Completed _ 7J6 Inspected By APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE 25.00 Z 9z ZZ4Z Name of Firm Phone No. _ ("— Address of Firm (I a (© C+ d W i nc-A S o r d Location of proposed work l t 3s , Describe fully nature of permit requested 5 i wry` 1 O ree Q)Lk Starting date 24 Approx.time for completion ;Qd (gym Call before you dig no. 099 oZSO ao J Traffic Services Control No. Show sketch of proposed work or furnish TO be filled OUt bV Town Of So Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut }��SS Lz7' /O No.cuts Amt.of Deposit $ by () Cash() Check# Cut size after Perm. Patch tjo} unc4x 5-re-e-+ No.Cuts Final Billing $ 3Xs' C'allrnscrossl Amt.Due Payee $ i Applicant is responsible for contacting Amt. Due Town $ the Police Dept. and C.S.Y.D. -� �' by date 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 THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed �Q Date: J Title• f , . D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES