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HomeMy WebLinkAboutStorm Street Cut Permits 89 Commerce Way TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit; No. 2442 Contractor ADAMEC CO. Location 0089 COMMERCE WAY Address AARON ADAMEC Type Work STORM 385 SCHOOL STREET EAST HARTFORD CT 06108 Date Insp Needed Time Insp Needed C: Inspected By Work in Progress ,. Inpu: �( Date 419 TOWN OF SOUTH WINDSOR INSPECTION REPORT � a - Permi-e"' No. 2442: Contractor ADAMEC CO. Location 0089 COMMERCE WAY Address AARON ADAMEC Type Work STORM 385 SCHOOL STREET EAST HARTFORD CT 06108 Phone ,No., ( )/z89- �'S`7`) Date Insp Needed �' �� gate Inspr ,:f9, ' /�/' �' Time Insp Needed Tnap Inspected By Work �i n Progress CL � � Input r_ ��;�' Date s APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm d C'V—+ Co Phone No. Address of Firm 3 F SJ y 6 OI S Location of proposed work C U er Describe fully n-atture of permit requested T© C-CA"k%t \Otatti'�4) ��rt � �� -6 Vv-\e)�6 1 Starting date 3u v I'IT'S Approx.time for completion -a- �- �k Call before you dig no.+' Traffic Services Control No. Show sketch of proposed work furnish To be filled out by Town of So. Windsor two copies of separate drawing Pavement Cut Indicate North l Prop.size of cut No.cuts t Amt.of Deposit$ by ()Cash() Check N Cut size after Perm. Patch � No.Cuts C OACAn 6�5 r h fi 0 `^ Final Billing $ Amt. Due Payee S Amt. Due Town S Applicant is responsible for contacting the Police Dept. and C.B.Y.D. by date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO R€MBURSE 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: (✓�'' " �"v _- '�� Date: 60 Title: D.L.# y`� `)y 5"? PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES