HomeMy WebLinkAboutWater Street Cut Permits 100 Commerce Wa M
Permit No. 2300
Date 05/14/1997 .'own of South Winds or : CT
Expiration Date C'�5/14/199g Street Excavation Permit
Descrip;
Applicant
Name MAULUCCI CONST, Location
CO
Addr. 73 BROWN STREET . INS: Of0 -C9MMERCE WAY
BLOOMFIELD CT O6002
Phone (8fi0) - Type of Work WATER
Applicant agrees to furnish, the Town of
required and to reimburse the Town caf
South Windsor the amount of bond
incurred by the Town for maintenance 4South Wi,' Cj60r• for any
Permit and that applicant i, epair wrirk i y expenses
r'egu7ations for $ fami, lar n connection with this
permits s w�th'"and ',wi) l: -abide by the rules and
Cut Permit Manual , outlyned �n the ' Tawn of,,.South Windsor 's Street
'K * PERMIT TO BE, KEPT +DN ,143. 'STYE AT A
I LL SSUed by TIMES,
- T i t l e
777�
Date Completed
Inspected By
23eo
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm u���C c( �'<jr----c /vh �' Phone No.
Address of Firm 73 S 1-o w N I �.r>A, "Z)
Location of proposed work /c)n C-rh/Nerd_. �✓iQ y
Describe fully nature of permit requested_ C'o;V N{C-F 7 t/i41— C"-'e /-o: 7--'.EF v lni L�(ifS
Starting date /Z ` 77 Approx.time for completion .4
Call before you dig no. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So Windsor
two copies of separate drawing Pavement Cut 'i 4 X'b
Indicate North Prop.size of cut ,
No.cuts___['_
Amt.of Deposit$ ih oy
O Cash O Check# _
Cut size after Perm. Patch !I
4- C�
No.Cuts P'
7 C�
Final Billing $
Amt. Due Payee $
Amt.Due Town$
Applicant is responsible for contacting
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: x't!G Date:
Title: D.L.# 0 9 /
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
7