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HomeMy WebLinkAboutDriveway Street Cut Permits 2304 Ellingt Town of South Windsor, CT Permit 1�0. 2426 Street Excavation Permit Date 05%05/1998 Ex:p i rat ion Date 06/05 1999 Descrip : Location Applicant 2,3u4, EL,LINGTON ROAD Name BOUTIN & SONS Addr . 121 WINDSORVILLE ROAD, �, DRIVEWAY BROAD BROOK CT 06016 Phone (660 )623-2526 €urn�sh ='the Town, of S00t, 0.1>��r�dsora�heeapenses©f bond Appl icant agrees to required and to reimburse the,, 0Wn 'Of. u.th Wi�nd�or to y incurred by the Town for m6l, ntenan O orp, rhpair w 61 -ab'idenbycthenr with thi ules ands permi t and that app 1 I cant J p f a►�i . regulations far permit b a( ,.otiti i ned 'i n the Town cif .. South Windsor' s Street cut. Permit Manual . * * PERMIT TO 'Bi~ KEPT 'ON J6h SITE AT' ALL TIMES. I s s u e d b y Inspected By ._- Date completed Y APPLICATION OWON OF SOUTH EXCAVATION PERMIT PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm S-T Phone No. Address of Firm Location of proposed work Describe fully nature of permit requested C( 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 Town of So. Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut v No.cuts Amt.of Deposit S by Cash(1 Check# �C71/ 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 R QIMBURSE 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: U Title: �/�� l/ Q,{�� D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES