HomeMy WebLinkAboutGas Main Street Cut Permits Sullivan/Buc Permit No. 2373 Town of South Windsor, CT
Date 10/22/1997 Street Excavation Permit
Expiration Date 10/22/1998
Descrip: GAS MAIN- SULLIVAN/BUCKLAND AND _DEMING PERMIT REVOKED 1 -2� 7-97
Applicant Loc
Name YAKEE GAS b NFIN f'NI "
Addr. P.O. BOX 1030 L . G AS MAIN
MERIDEN CT 06450 Type ofWc.ric= aAS
Phone (800)989-0900 '
Applicant agrees to furnish the Town of S tt th lei ri`dsor the pamount of bond
required and to reimburse, t e Town, cif South Wtn' ds�a:r for any expenses
incurred by the Town fors ma n'tena'nce=:`or� in, connection with this
permit and that applicant i " f awl l.ir with and; .w��'11etide by the rules and
regulations for permits as ®utlinecl° inWthe Town of South Windsor's Street
Cut Permit Manual .
* * PERMIT TO BKEPT ,SITE. AT ALL TIMES.
Issued by N Titte
Date Completed �.
Permit No. 237`3 Town of South Windsor, CT
Date 10/22/1997 � p Street Excavation Permit
Expiration Date 10/22/1'998
Descrip: GAS IAA1'N- SULLIVAN/BUCKL,AND AND DEMING
}.�-,pi i4:ant L :at.ion
Name YAN+; C GAS UEM.INC HILL f :taAU MA I
Addr . P .O. BOX 1030
MERIDEN CT 06450 Type of Work GAS
Phone ( 800 )989-0900
Applicant agrees to furnish 'the Town of South Windsor the amount of bond
required and to reimburse the -Town-of 866 h Wi tndsor for any expenses
incurred by the Town For m intenance .or�I,r'o r .wirk . tn connection with this
permit and that applicant is fam l iar with and 'w.11l abide by the rules and
regulations for permits as ®utlined fn the Town of South Windsor ' s Street
Cut Permit Manual .
* * PERMIT TO BE KEPT ON -JOB ,SITE -'AT ALL TIMES.
Issued by t, i -,�, n Title
Date Completed U _.._-_ Inspected By _��_`
APPLICATION FOR STREET EXCAVATION PERMIT z
TOWN OF SOUTH WINDSOR
PUBLICWORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm 4iltX� J" c Phone No. �9� oZ 3`o
Address of Firm //oZ )4Z0_r"0e(=7— i l /L L U5 .. E'1 w�AU)J'o�
Location of proposed work BcJ CK LA-+,r 0 R10 �Z SOH 1 N T.
Describe fully nature of permit requested _-Z?yj"-C C; �'i4.S' /7if/w
Starting date O Approx.time for completion
Call before you dig no. OooZ07 Traffic Services Control No.
73900 �08
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of out
i
No.cuts
Amt.of Deposit$ by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee $
Amt. Due Town $
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 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 STREET CUT PERMIT MANUAL.
Signed a-'Q— Date:
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES