HomeMy WebLinkAboutWater Street Cut Permits 130 Commerce Wa a
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2887 Contractor CARON COLLISION,DBA
Location 130 COMMERCE WAY Address CARON PAVING CONSTR.
Type Work WATER 115 PARK AVE.
EAST HARTFORD CT 06108
Ph 'ne No,° ( ff ) // -
Date Insp Needed Date:;Insp, y/Z 9'!F 19,
Time Insp Needed T tme" nsp'': /�•°�®
Inspected By
Work in Progress ., , '",�� 1 . .,o% :►.T�aG �.�,/ ;�,���� k, ,�
Input` Date 17-17&!�
Perw*,"L-`N'9. 2887 lowr! oT SOUth 'windscr . CT
gate 11 /03 / 1999 Street Excavation Permit
Expiration Date 11 /0 %2000
Descrip : WATER SERVICE AND REPLACE CATCH BASIN TOP
Applicant Location
Name CARON COLLISION , DBF; l'30 COMMERCE 4Al'
Addr. CARON PAVING CONSTR.
,EAST HARTFORD CT 0E108 Type of Wdrk 4ATER
Phone
AppIiicant agrees to furnish the Town of South Windsor the amount of bond
required and to reimburse the._Town of-Slouth Windsor for any expenses
incurred by the Town for mai.>ntenahce or repair work in connection with this
permit and that applicant is ;famillar with and w11 abide by the rules ana
regulations for permits' as outs tied in the . Town of South Windsor ' s Street
Cut Permit ,Manual .
* 91,ERMIT TO B PT, ,,ON JOB' SITE AT ALL TIMES.
Issued by
/ Title
e ✓L_�'v' y° T
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Date Comp ieted� =Inspected Av
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm C ; 3w,' -1 CDn-5A Phone No. ��1 I-P y
Address of Firm �`� \ p� er PR r1qI
Location of proposed work \ �.n +•,,�
Describe fully nature of permit requested �N c. /,U IL = 0 J
Starting date Approx.time for completion
Calf Before You Dig,No. `i Q Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out byTown of South-Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut XO� C s4Fr�
� ¢ No.cuts
1•Z�
Amt.of Deposit$ by .
O Cash(&,�Check#J
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: G1
Title: «- 1{2. lU11- D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
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