HomeMy WebLinkAboutElectric Street Cut Permits Edwin and Gl Permit No. 2517 Town of South Windsor, CT
Date 12/09/1998 Street Excavation Permit
Expiration Date 12/09/1999
Descrip: ELECTRIC CONDUIT BEHIND
Applicant Location
Name CHARTER OAK UTILITY CQ4OT)�HC`T 1=,OW t' ANp° ,LENDALE
Addr. PO BOX 96 ;r°
CROMWELL CT 06416rpe°` f .ELECTRIC
Phone (860)241-8274
Applicant agrees t h °i a rtl �f S u fi rid 'or the amount of bond
required and to re i mb0r� e � � � oWn �f � h W�i������r any expenses
incurred by the Town s m ► 1 @ a r� � rk gyp ? c o n n e c t i on wi th th i s
permit and that app 1 i cant { ar tu obi de by the rules and
regulations for permit " ed .kae f-�S,o6th Windsor's Street
Cut Permit Manual . �
* 0ERMIT TO hC ?TB, S1' AT .:ALL TIMES.
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Issued by � � Ti
Date Complete Inspected By
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 Y l L ®�i� �`(i T ` r Phone No. 1 8c�
Address of Firm b 90 �� C t)(&qlLe
Location of proposed work
Describe fully nature of ermit requested `p t �i Qv' '( —
u q � -b i a- +o he S -
Starting date g1j, 1 q2Approx.time for completion
Call before you dig no. q 51 IT(To 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 Prop.size of cut ��
No. cuts
Amt.of Deposit $ by
® � ���� (1 Cash() Check M
1, Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee $
Amt. Due Town $
Applicant is responsible for contacting
the Police Dept. and C.S.Y.D. by date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RQMBURSE 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: I az ! Z 9V
Title: / ! D.L.ff
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Dec 08 98 02: 41p DRVID N. TERRY (860) 280-2591 p. 1
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