HomeMy WebLinkAboutWater Street Cut Permits 124 Commerce Wa TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3055 Contractor CARON COLLISION, DBA
Location 0124 COMMERCE WAY Address CARON PAVING CONSTR.
Type Work WATER 115 PARK AVE.
EAST HARTFORD CT 06108
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Phone No. (860)297-1840
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Input Date /
Permit No. 3055 Town of South Windsor, CT
Date ' * 11/30/2000 Street Excavation Permit
Expiration Date 11/30/2001
Descrip:° STREET CUT FOR WATER TAP
Applicant Location
. Name CARON COLLISION, DBA p124•.;COAMERCE WAY
Addr. CARON PAVING CONSTR. ,,"
EAST HARTFORD CT 061 � e > Q WATER
Phone ( 860)297-1840
Applicant agrees to fur � t� f Windsor the amount of bond
required and to re i mbuft eowr ..off �t s fr any expenses
i n c u r r e d b the Town f r ,Y � en � epa r k win connection with this
permit and that app 7 rt iG 4 ami ;a �r �h arm ''I 1 abide by the rules and
regulations for permit t �` rTo*W':f ,,,South Windsor's Street
Cut Permit Manual .
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* * PERMIT TOE vkEP { TIMES.
Issued by
bate Completed ®a Irpected By RgkA
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APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm CAR �. �� "� Phone No4E�S 1 —1 a�4 b
Address of Firm 't-Xv p
Location of proposed work
Describe fully nature of permit requested
Starting date Approx.time for completion �r1
Call Before You Dig o. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cu
Indicate North Prop.size of cut 6 -)c 25/= ISc> % 3,3¢
No.cuts
vfl
Amt.of Deposit$ ,50 i• by
()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.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.
Sign Date:_ AN
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PERMIT SHALL BE KEPT ON 3OBSITE AT ALL TIMES
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