Loading...
HomeMy WebLinkAboutRemove existing box culvert Street Cut P 35 BOND TOWN OF SOUTH WINDSOR Am't Req. `---"- PUBLIC WORKS DEPARTMENT Date TOWN HALL Am't on File 1540 SULLIVAN AVENUE Permit No. SOUTH WINDSOR, CT 06074 ate of Expiration Permit Expires APPLICATION FOR PERMIT FEE $10.00 // Name and address of applicant �ps k1z-+ .{.—`,'nsy Phone No. 2.2 US G Location of proposed work �t�.y,r %( ; c.G Ci Describe full nature of permit requested %,;�;7_, :.,;jr< - !n,1 Cu �l,--, 1v, g Insurance on file with Town ye no Date policy expires_ y/y 7 Name of Insurer , �., - �o� z ciJ.'c:�%=i �!` o Approximate time for completion , /';/a 4 Desired starting date 4J [ cd Show sketch of proposed work or furnish 2 copies of separate drawings a O t r �t SSdC a. Q a� a 0 U O O cd V Applicant is responsible for contacting the Police Department and CALL BEFORE YOU DIG. a I agree to furnish to the Town of South Windsor the amount of bond or deposit 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 (Pavement Cut Regulations.) Signed -�9 //; !' Lu APPROVED: DATE APPROVED: :, 1 ATE Supt. of Highways Town Engineer` FOR INSPECTOR: Date work started Date completed Sufficient notification received: yes no Type of repair: Perm. Temp. Unusual conditions encountered Material slips attached: yes no Dated for Permanent repair Signed Inspector 6 Yankee Gas Services Company Yanke6§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 7111 rRIE L) A Subsidiary of Yankee Energy System inc.