HomeMy WebLinkAboutStreet Cut Permits Dart Hill Road and Ni S , ✓` 'I�O�Y OF �Oi�H �I�'sOR .�: Q
{Re PV$II4i �i�`QRKS q.
TOWhI;HALLat4-=`�
S 't on FiIE 1540 SULLIVAN-`AVENUE
w Fermit'No.
SOUTH INDSOR,CT 06074 -�
date, of Expiration,
Perncait Expires
F a APPLICATION FOR PRRMIT - -
FEE
`s Name and address of applicant (iLs df��S' 6 AM' P�one No.
,_���_
Locati n of,prgpose'd work 7 '''.
Describe IF I
fully nature of permit requested
Insurance on file with 'own, s no Date policy expires
Name of Insurer A11 ,� MC
oApproximate time for completion Desired starting date
b Call before you dig ticket rio.
u ,
+ Show sketch of proposed work or furnish 2 copies of separate drawings
4b jj::j4,j!(
.Q -
.+ y.
OSHA REQUIREMENTS MUST BE FOLLOWED a:
t ApplicAnr`is responsible for contacting the Police Department and CALL BEFORE YOU DIG. ;
I agree to furnish to the Town of South Windsor the amount of bond 'or deposit rewired ei! R
t reimburse the Town of South Windsor for any expenses incurred by the Toxin.for maintsaance or;reps
wotk in connection with this permit and that I am familiar with and *M abida by the rubs an d
Ogulations for permits.'as outlined in the Toa►n of South Windsor's (Pavement:tdt Itegala41
t otts„►,'
{ r ;\ fC +✓ )j=I F..i Sgne
APPROYEi'D: DATE APPR TE _ w
Supt. of Highways Town nginee
FOR INSPECTOR: Date work started Da
te Completed
icientrnoti ical ow-recoived:-—yes- - -no - - Type--ot-repair: ;
Unusual conditions encountered
Material slips attached: yes no Dated for ermanent repair
T - Signed
_.s ec 4r
Yankee Gas Services Company YankeO#as
1654 King Street
Enfield, CT 06083-1194
March 31, 1992
Town of South Windsor
1540 Sullivan Avenue
South Windsor, CT 06074
Attention: Mr. B. Davies
Dear Mr. Davies:
Re: Town of South Windsor
Permit No. 691
As you requested, this letter will serve as a request to
renew the above referenced permit for proposed Yankee Gas
work at the intersection of Darthill Road and Pheasant
Way.
Sincerely,
Douglas Faraday
Gas Operations
T
•
A Subsidiary of Yankee Energy System Inc.