Loading...
HomeMy WebLinkAboutReplace fire hydrant n/w corner Street C 700154 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 09/28/07 GIS ID:44109999 FEE: MUN IS APP LI CAT IO N# 20O 07 1 .00 20 0701576 EXP RATI ON DA TE:E: 09/2 7/08 APPLICANT LOCATION NAME: METROPOLITAN DISTRICTD . DRESS: 125 MAXI :>::.,;,. ..<...::.::.. M ROAD 0) . Tk3WN:fl SOUTH WINDSOR HARTFORD,CT 06114 154# ULLIVAN AVE SOJI WINDSOR,CT 06074 PHONE WO RK DES CRIPTION: RIP TI ON: RE PL ACTi' kI RA'' TzD 1�7T:. �C ; �xEV�:QOD ON HILTON ........... APPLICANT AGREES TO FU RNISH SH THE ``T :d t�F SOUTH:' I���3 '"1aE1�I'Oi1NT'O:F`B'C7 REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY�XF�s § I�tT12I� �`��) r�j`Fp : •+° .INTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE �PPI I PANT I FAMII l' 1 II ANp'WILL:ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S"GI1TH�?FT Np..R'S'STREET CT3`:::pERMI MANUAL. ISSUED BY DA E INSPECTED INSPECTED BY 9/28/200712:36PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** f TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: Eli? ``! v' (� CONTRACTOR: LOCATION:_ co n.c i _ TYPE OF WORK:_ DATE INSP NEEDED: DATE INSP: /�/� ' INSPECTED BY: WORK IN PROGRESS: sue. � �e� i rig- c>w AS-BUILT: INPUT: (� A� DATE: 1 ` I to -03 W/2007 Town of South Windsor INPSECfION REPORT 07 SEP. 28. 2007" 8 ; 52AM"'O' "MDC SYSTEMS REPAIR NO, 007 F. 5 APPLICATION FOR STREET EXGAVATION.PERMIT TOWN OF SOUTH WINDSOR Permit s - PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT OGD74 /: FEE $25.60 -Name of Flrm • C . Phone No. ©-�7 S "7gsQ Address of Firm 5 Q �l �- _ 'Z - 0 S 0 Location of proposed Describe fully nature of permit requested Starting date AAproX.time for completione Ci311 Before You Dig No: R007 13� Traffic Services Contra{Not 5howsketch of proposed work or furnish two copies of separate drawing I dicate North This 'on be filled out by "Down of 5nufh Windsor Pavement Cuf `► _ No.cuts Est-Size of Penn.Patch(s) -7 Est.Pvt.Thickness in.7 Est Unit Price ffi Amt of Deposit$ TQIM Due$ by ( )Cash )Check If eo49-ewood Dr. IP&manent Patch = pNo. Cuts 1" Size of Patch(s) • Flnar Billing Amt Due Payee A DL Due Town _ !3y llcar#t ss ro nsibt®for contactin ' the Police De f and C.B.Y.D. 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 IV(A NTENANCE OR REPAIR WORK IN CONNECTION MR THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RUMS AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL Signed- �... Data, Title• �v - . Driver's License#: PERMIT SHALL 8E KEPT ON JOBSITE AT ALL TIMES .