HomeMy WebLinkAboutGas Main Street Cut Permits 521 Deming S TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3398 Contractor YANKEE GAS
Location V2'lr 1 SET Address 112 PROSPECT HILL RD
Type Work GAS �., E. WINDSOR CT 06088
1 No. (860 )292-2242
Date Insp Needed n
Time Insp Needed o Pf"?
Inspected By
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o. 3398 Town of South Windsor CT
DAte - 09/19/2002 Street Excavation Permit
Expiration Date 09/19/2003
Descrip:
Applicant
Location
Name YANKEE GAS M STREET
Addr. 112 PROSPECT HILL
E. WINDSOR CT 060 GAS
Phone (860)292-2242
Applicant agrees t Win sor the amount of bond
required and to rei T th q"� or any expenses
incurred by the Tow to epa n connection with this
permit and that appl ' a ., bide by the rules and
regulations for perm 1 e cif uth Windsor's Street
Cut Permit Manual .
0 M
* * PERMIT T ot 4J ALL TIMES.
Issued by G
Date Completed Inspected By
APPLICATION. FOR STREET EXCAVATION PERMIT
TOWN OF SOUT,N WINDSOR
PUBLIC WORKS DEPARTMENT
-TOWN HALL -
1540 SULLIVAN AVENUE -
SOUTH W,INDSOlk GT
FEE`$25000
Name of Finn .10 N kx� "�a S Phone No. 6`O . _51
Address of arm 2 c G0 8
Location of proposed wo 2 o V 2
fu re of it reQuest+ed
101
Starting¢ate 'a 2. Apprun.L"Im f%or ,
Cali:Before YOU Dig No. Traffic services Control No.
Show sketChi:af proposed work or famish To bi filled out tom R South Windsor
two copies of separate drawing
Indicate North Prop.size Of as
NO.
'Arm of Depot S tiY
()'Cash-O Chi _
Cut site attet'Perm.Patch
No. .Cuts
Final SlIlln
Ant Due Payee$
Aft Due Town;
Applicant is responsibie'far contacting by dam
e.P lice De an :Y.D
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND RWUIRED.AND TO REIMBURSE THE TOWN OF
SOUTH WINDSOR FOR ANY EXPENSES INCUt RED BY T _E TOWN FOR MAIN T NANCE OR REPAIR WORD IN CONNECrJON WITH THIS
PERMIT AND THAT I AM FAMILIAR WITH AND WILL L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL
Signed:• Date: jO ,r 2, o 0?-
PERMIT$HALL BE_KEPT ON 3OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permitdoc
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(CALL �EFORE YOU DIG - CT) 10/10/2�02 07:52:44