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HomeMy WebLinkAboutCAble Street Cut Permits 43 Dawn Drive Permit No. 2736 Town of South Windsor, CT Date 06/24/1999 Street Excavation Permit Expiration Date 06/23/2000 Descrip: CABLE TV Applicant Location Name COX COMMUNICATIONS " fl � ©AWt DRIVE Add r. 801 PARKER ST. � 06040 CT 06040 o - "SABLE Phone- (860)512-5.000 a Applicant agrees �tfh °tl T o� � lndor the amount of bond required and to reimure �'ow� f �ih I�S. rfOr any expenses incurred by the Town for +4Q j"en8 � connection with this permit and that app l i oarrt f�� il , abide by the rules and regulations for perm?is -s-,JLI d in bf,. South Windsor's Street Cut Permit Manua ip , * * PERMIT TO` & �KE 4f7• LL TIMES. Issued by ��. , 17 t e r �) y' '� r--� Date Completed � Inspected By a13(v APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm C Phone No.—Sid V"" Address of Firm l e f' Location of proposed worky DakjN D Describe fully nature of permit requested o fiU Starting date Approx.time for completion lead Call Before You Dig No. Traffic Services Control No. 0 Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement Gut Indicate North Prop.size of cut ` �� No.cuts Y`' Amt.of Deposit$ by w� G Cash{)Check# Cut size after Perm. Patch No. Cuts Final Billing$ load 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 WINDSORIS STREET CUT PERMIT MANUAL. Signed: Date: d Title: D.L.#: 1 PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Standard Form s\Permits\Street_Excavation Permit.doC