HomeMy WebLinkAboutWater Street Cut Permits 60 Deming Stree u
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2487 Contractor STATE LINE SEWER & CONST CO
Location 0060 DEMING STREET
Type Work WATER Address 23$ SHAKER ROAD
ENFIELD CT 06082
Phone No. (860)749-6176
Date Insp Needed z Z,
Day Insp �
Time I nsp Needed Ti
Inspected By
Work in Progress
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. . .-::;Ro, 2487 Town of South Windsor, CT
a te. 08/26/19§8 Street Excavation Permit
Expiration Date 08/26/1999
Descrip: WATER SERVICE
Applicant Location
Name STATE LINE SEWER & CON
ST CO 0G bEIINC STREET
Addr. 238 SHAKER ROAD � �
ENFIELD CT 06082 F °M Type of. �Vcjr"k"WATER
Phone (860)749-6176
Applicant agrees to _fur'njah fah Town ti#� South °~ igor the amount of bond
required and to reimburse ,the 'Town-0 In r...fo�r any expenses
incurred by the Town for, htena� :e ,p repaid � n connection with this
permit and that app 7 cantm�. f ami. rr and 1a,1b`i de by the rules and
regulations for "9 permitsTow, d South Windsor' s Street
Cut Permit Manual .
* *PERMIT T, PT.KE ON JQ$ SITS AT L i L TIMES.
Issued byTitl �`
Date Comp 1 t d
--'Inspected By
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s
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 Phone No.
Address of Firm S1L-�
Location of proposed work
Describe fully nature of permit requested
Starting date Approx.time for completion
Call before you dig no. � n D rf 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 U� v Prop.size of cut
i No.cuts_
�00 Amt. of Deposit $ 2G'16 by
(1 Cash X Check# ` 41
ri
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee $
Amt. Due Town 6
Applicant is responsible for contacting
the Police Dept. and C.B.Y.D. by date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO R}IMBURSE THE TOWN OF
SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
PERMIT AND THAT 1 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:
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES