HomeMy WebLinkAboutGas Main Street Cut Permits 72 Commerce TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3190 Contractor YANKEE GAS
Location " Address 112 PROSPECT HILL RD
Type Work GAS E. WINDSOR CT 06088
Phone No. (860)292-2242
Date Insp Needed
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Time Insp Needed ' Time Insp.,,;
Inspected By �/�
Work in Progress
Input Date l �-
rermiLYwo. :i190 Town of South Windsor, CT
Daf 08/28/2001 Street Excavation Permit
Expiration Date 08/28/2002
Descrip: INSTALL GAS SERVICE
Applicant Location
Name YANKEE GAS 0,072 COMMERCE WAY
Addr. 112 PROSPECT HILL RD
E. WINDSOR CT 06088 T pa: gf Woh* GAS
Phone (860)292-2242
l
Applicant agrees to furn' s : the Tqwn of S6uth".Wtndsor the amount of bond
required and to reimburse the Towr► o "Wi-nd°oor for any expenses
incurred by the Town foie maynlananc Q;r "r®pA,_r,.rli in connection with this
permit and that applicant i;s : ami1.far W th and w;111.1 'Abide by the rules and
regulations for permits .a _ rriCt`1 ineo�;;' n ihe Tow ,.i South Windsor's Street
Cut Permit Manual .
* * PERMIT TO BE KEf `f 4N .lOB.`.. ITE °AT ALL TIMES.
Issued by gr F-OA Tit i\e r c��rcT ti��-�F�fl�
, Date Completed
Inspoced Bye v�
_ �3190
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm to Phone No. (2(00
Address of Firm 11A L2OS i
Location of proposed work erc
Describe fully nature of permit requested a
Starting date "40f- —Auj 31, 200/ Approx.time for completion
Call Before You Dig o. 3 a-3 Traffic Services Control No.
Show sketch of proposed work or fumish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North 1 Prop, size of cut
��O�USszd No.cuts
I 3)¢�. Amt. of Deposit$ by
5-e V(Co-
Cash{)Check#
I Cut size after Perm. Patch .
5� No. Cuts
I tin _ Final Billing$
s nn Amt. Due Payee$
l..ommerc�,l,�1au
Amt. Due Town$
Applicant is responsible for contacting by date
the Police Dept. and C.B.Y.D.
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. t M4j 1, aaDate: 8l a /01
Title: D.L.#:
PERMIT SHALL BE KEPT ON 30BSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc