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HomeMy WebLinkAboutWater Street Cut Permits 7 Dogwood Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3536 Contractor CONNECT'I>C,UT WATER COMPANY Location 0007 DOGWOOD LANE N S Addre5ls 25 ,NORTH i6k:D. Type Work WATER NAS.T WI`NDSOR.,CT'::,;06088 phone No`. {B.::0 23 2 5°55 2 Date Ins p Needed Time Insp Needed Time Tnsj � - c Inspected By Work in Progress4. Input _�Oi"� TSate Permit No. Date 3536 06/26/2003 Town of South Windsor, 06/2 Expiration Date Street CT Excavation Permit Descri 5/2004 P EXCAVATE TO REPAIR LEAVING, WATER u�ERVZCE Applicant Name CONNECTICUT a WATER COMxQn Addr. 25 NORTH PANY ROAD Ofl07 DOGWOOD; LANE EAST WINDSOR CT 06088 Phone (860)292-5552 T'ATE, r Applicant agree required S to;furnxsh the and to re Tcztwn QUth incurred by the Town arse the Town' youth Wends© the Permit and �ar ma3ihat t WSit3S;o Vicar are °f bond regulationstfor perm tsnt as `fami a °wz lap d wild i oannectionswith this Cut Permit as cxutlinedn 1 abide,.:bY t:he Manual. theoy of rules and south ':xndsor's street * * PERMIT TO BE XEPT ON JOD SITE AT ALL TIDES, Issued by Date Title < Completed -----_—_-- Inspected BY "7 J. 26. 2003 9: 28AM CONNECTICUT WATER CO N0, 157 P. 1 APPLICATION FOR STIEEt' EXCAVATION PERMIT ._.. TOWN OF SOUTH WINDSOR PUBLIC WORKS.DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSORf CT FEE $25.00 Name of Fi � TG-`�c �, Phone No, Address of Firm a Location of proposed work X-Ambe fully nature of permit requester x �= .� S4ir2 ' 2 cymg V/r-r „_ Suiting da Approx.time for completion Call Before Trafk Services Control No. Show 90atch of proposed work or Furnish o be lied out Town of South W;ndsor two copies or separate drawing ! indicate Nordt Prop.size of cut No,arts LE7 AmL of Deposit Cash()Check CsXC�V(a i/o/v -a f>7� Cut size after Perm. Pa" bcY vi/t�c5>, ,G/V No. Cuts I `WAA5i Tcx Final Billing s ' i ®=rsPr-wb Amt.Due Payee ! AmL Due Town is responsible for contacting . f,"e�'oiiCe De and C.g.Y.D. by da I AQ;ME TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIN BUtZSE 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 FAMk1AR WITH AND WILL ABIDE BY THE RULES AND REGItI ATIONS FOR PERMITS AS OU71IN[�7 IN THE TOWN OF SOUTH WINDSOR'S STREET'CUT PERMIT MANUAL. Sagnecl: Date- PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Standard Fams\PerMMSbva Ucavation Pennit.doc