HomeMy WebLinkAboutGas Main Street Cut Permits 451 Deming S ' TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3381
Location Contractor YANKEE GAS
Type Work GAS 'rvy' Address 112 PROSPECT HILL RD
E. WINDSOR CT 06088
ne No. (860)292-2242
Date Insp Needed �"
e 907 0
Time Insp Needed
Inspected By
i
Work in Progress
"� " t �% -' Date Gj�
P `rat No. 3381 Tc5wn of South Windsor, CT
1.Date 08/27/2002 Street Excavation Permit
Expiration Date 08/27/2003
Descrip: FEE WAIVED FOR GAS CO
Applicant 0 S A- Location
Name YANKEE GAS G STREET
Addr. 112 PROSPECT HIL
E. WINDSOR CT 0 0 o k GAS
Phone (860)292-2242
Applicant agree h W ndsor the amount of bond
required and to re ' a ou d for any expenses
incurred by the To int re in connection with this
permit and that ap h abide by the rules and
regulations for pe u i o South Windsor's Street
Cut Permit Manual .
* * PERMIT T ALL TIMES.
Issued by a t l e aa, ,
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm Y#fJ Q cf Phone No. 6 Q— ,9-/ " 2- 2-
Address of Fi C-'q- A4 I
Location of proposed work XjYl/
Describe fully nature of ermit requested C %�D' Q'q ,P A
K I A) G- ft-D M a E.R-o Mr X d'q 4"0 N O ct d X.
tarting date — 6 't-- Approx.time for completion
Call Before You Dig No. 3 SF 0 1 D 7 3- Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
No.cuts
�r Q Amt.of Deposit$ by
O Cash O Check#
C,l Cut size after Perm. Patch
Gf v'o2rR L C No. Cuts
Final Billing$ _
- Amt. Due Payee$
.7.
Amt. Due Town$
if
Applicant is res by date
the Pol it.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 WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: ` Date: o .2- 3 'L
Title �(� -� ct� D.L.#•
PERMIT SHALL BE KEPT ON 70BSITE AT ALL 77MES
Standard Forms\Permits\Street Excavation Permit.doc