HomeMy WebLinkAboutWater Street Cut Permits 89 Commerce Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2891
Location 0089 COMMERCE WAY Contractor ADAMEC CO.
Type Work WATER Address AARON ADAMEC
385
L STREET
EAST SHARTOFORD CT 06108
Phone "
Date Insp Needed
Da' e Insp.
Time Insp Needed
Time Insp -. c. iy
Inspected By T L „
L n
Work in Progress
Input a Date 11/Lzl��
Permit,.No. 2891
DaL'e 1 1 / 12/1 999 I-own of South Windsor, CT
Street Excavation Permit
Expiration Date 11/11/2000
Descrip: WATER TAP
Applicant
Location
Name ADAMEC CO. Q0�9 COMMERCE WAY
Addr. AARON ADAMEC � ,
EAST HARTFORD CT 0
Phone (. ) - Tx of,,Wo.rk WATER
Applicant agrees txifu th
required and to reim6uc ; � aun dsor the amount of bond
incurred by the Townftr neonha � °r fpr any expenses
Permit and that appl3>�ca t =amp p � ° connection with this
regulations for anti::; Abide by the rules and
permiakt"fh' TWf� aUth Windsor' s Street
Cut Permit Manual . o
JPERMIT "81v KEP,
. I J At, ,ALL TIMES.
Issued by
. T t7e.
Date Comp l e ed
--- - Inspected By --
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN'AVENUE
SOUTH WINDSOR, CT -
FEE $25.00
Name of Firm Phone No.
Address of.Firm ti-Gc
Location of proposed work ci --
Describe fully nature of permit requested a-
Starting date Approx.time for completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furnish TO tw flund,out In Town of South Windsor
two copies of separate drawing
Pavement Cut t
Indica a North 3 Prop.size of cut lG
No.cuts
Amt.of Deposit$ by 4 Y�a�Z
{)Cash()Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt.Due Payee$
Amt. Due Town$
_ Applicant is responsible for contacting by date
the Police Dept. and C.BX.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: Date: 2
Title' D.L.#•
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
_ — Standard Forms\Perrr s\Street Excavation-Permit.dac ---..----_. _ -------....-_--