HomeMy WebLinkAboutTelephone Street Cut Permits Deming Stre F
Permit No., 2385
Date 11i' 12/ 1997 Town of South Windsor, CT
Street. Excavation Permit
Expiration Date 11 /12/ 1998
Descrip:
Applicant
LOGatIon
Name CABLE CONSTRUCTION CO.
Addr. 405-D NEW STATE ROAD
MANCh1ESTER CT 06040 Phone (860)049-82. 17 Type of Work, TELEPHONE
Applicant agrees to furnish the Taws. of South. Windsor the am
required and to reimburse the. Town of Sciu:l;h Wiadscir for any expenses
cunt of bond
incurred by the Town for m�intenanoe or, repair Work jn connection with tiffs
permit and that app 1 i cant ��� fami,l tetr wj thi a'nd t 1 1
r"egu 1 a t i ons for, abide by the rules, and
permits as OutIi,ned In the Town of oath Windsor 's Street
Cut Permit Manual .
* * PERMIT TO .BE f1iFT0 'J08 `STE AT ALL TIMES.
Issued by
Date i:omp i eted _�.
Inspected By
Z 58�
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT v na
FEE $25.00
Name of Firm � �/< < �b+r3 r"' Cb. '"�" - Phone No. 4 d ?
Address of Firm e"6 5'
Location of proposed work
Sh+,—?` 1--.-,?!w t/o " c -2-
Describe fully nature of permit requested zn-5 U�
/2-&^ /U C 7 S ti.e to r—Cs • e.-- o•� sa r�!.� .
Starting date III a G Approx.time for completion
l_s� "7
Call before you dig no. 1.76t s6 / 9 g`� Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts-
Amt.of Deposit$ too f zay
t 1 Cash()Check x `�
/L.A Qir�/ Cut size after Perm. Patch
No.Cuts
Final Billing S
3� Amt.Due Payee 4
n _0 Amt.Due Town S
Applicant is responsible for contacting-
the Police Dept.and C.B.Y.D. by date
s
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUN OF BONG 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 TH&;f(ULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
7
Signed. Date: /w l
YMtavD EG1-�G
Title: -- — D.L.O.
a
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES