HomeMy WebLinkAboutWater Street Cut Permits 93 Commerce Way yi
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2892 Contractor ADAMEC CO.
Location 0093 COMMERCE WAY Address AARON ADAMEC
Type Work WATER 385 SCHOOL STREET
EAST HARTFORD CT 06108
Phone No.
Date Insp Needed \1- Date 'Insp ,
Time Insp Needed ; Insp lrt�
Inspected By
Work in Progress
77777
t
InP.ut - Date 4�i
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P@171 t„ N� 2892 Town of South Windsor, CT
Dam" 11/ 12/1999 Street Excavation Permit
Expire-tion Date 11/11/2000
Descrip:
Applicant Location
Name ADAMEC CO. 9GbMMERCE WAY
Addr. AARON ADAMEC
EAST HARTFORD CT 06'168 T`y5e of .Work WATER
Phone
Applicant agrees to ' urr�'rsh h4 T--,,. � Scauth Wi.ndsor the amount of bond
required and to reimbuee, Own o mouth W� oi~. for any expenses
incurred by the Town f0# mnirerG ^epar -k in connection with this
permit and that app 1 i cants : am1 IA
taw and r ;1 l i de by the rules and
regulations for permie" as , ut1,j'r 'an `t-100 Town of 'South Windsor 's Street
Cut Permit Manual .
PERMIT TO 8E ifP� ®[+t, �l�? SITE AT 'ALL TIMES.
Issued by T"i t1 e v
Date Comple�e — ' ' Inspected By
A �$5 a
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm _ Phone No. 2W�17
Address of Firm
Location of proposed work --23
-
Describe fully nature of permit requested
Starting date Approx.time for completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled..out by imp of South Windsor
two copies of separate drawing
Pavemgnt Cut
Indicate North Prop..size of cut f0
No.cuts
Amt.of Deposit$ by
O Cash O 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.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: Date:
Title: D.L.#•
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
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