Loading...
HomeMy WebLinkAboutMiscellaneous Street Cut Permits 71 Eliz Permit No. 2469 Town of South Windsor, CT �a 07/22/1998 Street Excavation Permit Expiration Date 07/22/1999 Descrip; MDC'" PERM. PATCH CK 1925 3 PERMITS Applicant Location Name DMS CONSTRUCTION CO. , 1G. s 0071 ELIZABETH STREET Addr. 623 HIGHLAND ST WETHERSFIELD CT 0610 Of,, Work, MISCELLAN Phone (860)721-0643 a Applicant agrees to f wn�sh 1:.h cft Windsor the amount of bond required and to re i mbu rye ~ ►wn W b r- r r any expenses incurred by the Townotna ppa rk-tri, connection with this permit and that app 1 i pantmfi i anc � obi de by the rules and regulations for permits .� a � `� a� a Tower 'South Windsor's Street Cut Permit Manual . * * PERMIT T K ? a, � �" ' TEST" �# . TIMES. Issued by Q ' pr Date Completed ' ectedBy 2 APPLICATION OWON OF SOUTH EXCAVATION PERMIT PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm �- Phone No. Address of Firm 01 Location of proposed work Describe fully nature of permit requested Starting date Approx.time for completion Call before you dig no. 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(1 Check# 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 R IIMBURSE 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: �� G Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES ADDRESS TDWI , �*►�►'a STAE,"IGHWAX 0 CO PR©J .`# DRAWIi"SKETCH SkJQYIT LQCATIO AI I Ct $ CROSS':9ECTK)N AF ppf a �° k s ` BIT C w. ao'' CRETE❑ PREsl MIX[f K =�l3ff.;CQt�C.b C(3 ICRETE❑ FLAG❑ R BIT{:Cf�1+IC.'C CONCRETE BIT"CO�1C.0 CgWCRif C7' a 4 a Q FIRST CUT; / ell . �,. IS Ck?IIrI D-YES F NO 4 t E PA' 1; t testy f'1 " Yam. NhA yyn �, C,; l , !• B# fl CE�74 NCRETE❑ PREMIJ�p CALCM IC 41, ITEM# ITC-hA ITEO# ITEM# 1 • f 1 9 'TO PRESS 1 k1�D C 'Toyt+ >Ir �# �' d 3 S •,.yr „ ��• ,, { rr,i