HomeMy WebLinkAboutDriveway Street Cut Permits 121 Commerce?rm t No. 2370 Town of South Windsor, CT
eta 10/15/ 1997 Street Excavation Permit
cp `ratlon Date 10/ 15/ 1998
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Applicant Location
tme J & H SLATER CONST CO, t?121 COMMERCE WAY
Idr. 75 COMMERCE WAY
SOUTH WINDSOR CT 06074 Te cif `Wor'k L?RTVEWAY ,
wone (860)528-5252
Applicant agrees to furrriIsh. the Town &F Soutth, W.i'ndsor the amount of bond
required and to reimburse the Town -of South Windsor Ifar any expenses
incurred by the Town for maintenance or repair `wcirk, in connection with this
permit and that applicant is fami3:iar with and ;wiil abide by the rules and
regulations for permits a cu lute t ,in; the 'Town `of. South Windsor 's Street
Cut Permit Manual .
* PERMfIT TO BE ,KEPT 'ON ;JAB .SITE AT ALL TIMES.
sued by - t� . ------ -- Title
ate Ccirnp l eted-- Inspected By
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' APPLICATION FOR
OF SOUTH EXCAVATION PERMIT
PUBLIC WORKS DEPARTMENT
1540 SULLIVANUU
AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firms Phone No.
Address of Firm
Location of proposed work
Describe fully nature of permit requested V E WI C1 V
E"(uS-ril , Qkr-r,
Starting date CO W—q'-7 Approx.time for completion /1R_d! 'j H
Call before you dig no. 97-4 Zot1 41 8'+ Traffic Services Control No.
Show sketch of proposed.work or furnish To be ruled out b of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of t 0`v�i
No.cuts
Amt.of Deposit$ by
Cash(1 Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee $
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 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 OUTH WINDSOR'S STREET CUT PERMIT MANUAL.
�Signed: Date: `C) " i S' 17
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PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
AREA = 60, 000 SO. FT,
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