HomeMy WebLinkAboutCAble Street Cut Permits Debbie Drive at Permit No. 2505 Town of South Windsor, CT
Date 10/19/1998 Street Excavation Permit
Expiration Date 10/19/1999
Descrip: REPLACE DAMAGED CABLE ' ' '
V
Applicant '
�> Location
Name TELE-NETWORKS , , DART HILL
Addr. 36 SYCAMORE DRIVE
CRANSTON RI 02921 'Type 'W`4r�` CABLE
Phone (401 )461-8420 a �.
Applicant agrees to f..urnh .thy Scadsor the amount of bond
it
required and to reimburse ,tae Town o : � t1rh W i` rdserr.Ufa"r any expenses
incurred by the Town i�o '.F,ma i r t atr�Op i r rc ''k r connection with this
permit and that app 1 i cant 1 s: am 1r .end T °a�i i de by the rules and
regulations for permit: Windsor's Street
Cut Permit Manual . � :
s
* ERMIT TO l ITB :AT ALL TIMES.
Issued by e G- -
Date Com 1 tel
.�
p Inspected By
F
APPLICATIONOVFO OF SOUTH EXCAVATION PERMIT
PUBLIC TOWN DEPARTMENT
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm �\ _ �3��W�`�S Phone No.
Address of Firm c—Xz-:u Z \
Location of proposed work
Describe fully nature of permit requested \
w
Starting date \O Approx.time for completion
Call before you dig no. \'aO�C,c\ 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
No.cuts
Amt.of Deposit S by
()Cash() Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee S
Amt. Due Town S
Applicant is responsible for contacting
the Police Dept. and C.S.Y.D. by date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RQMBURSE 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: \��\� \ Z)
Title: VL�Si� D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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