HomeMy WebLinkAboutWater Street Cut Permits 729 Ellington R TOWN OF SOUTH WINDSOR INSPECTION REPORT
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- ,nit No. 1 9 Contractor COVEN CONSTRUCTION CO.
ration Address P.O. BOX 427
pe Work
COVENTRY CT 06238
Phone No. (860)282-0526
Date Insp Needed `�� /a
,LS�te Insp � p
Time. Insp Needed
Inspected By
Work in Progress . A.A
Input MNL Date
Permit N 3198 Town of South ,Windsor, CT
Datef 09/07/2001 Street Excavation Permit
Expiration Date 09/07/2002
Descrip: WATER OFF PVMT
Applicant Location
Name " COVEN CONSTRUCTION CO 072,9 SE LNGTON ROAD
Addr. P.O.
BOX 427 .y
COVENTRY CT 06238 " ` pe o Wz �rk WATER
Phone---(860)282-0526 M
Applicant agrees tCD urni.,eh �outh" Windsor the amount of bond
required and: to reimbur"seb h ` 7,own of 'Sorxth 'Windsor for any expenses
incurred by the Town for, �aa tin c pai r �� a k ."a rk connection with this
permit and that a p p 1 i pant ,#4 dam"i W*0 and` �a �1,- abide by the rules and
regulations for, permi 1~s "as ,oat �i ri' . To .` if South Windsor' s Street
Cut Permit Manua
* PERMIT TO 8E KEP , EAT ALL TIMES
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Issued by � Title ro l.�g
-..
Date Completed Inspected By
3i98
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1S40 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Finn0mudc-APhone No. JqCZ �� D
Address of Finn Pi 1 d C* 2
Location of proposed Wo
f iw i o _
Describe fully nature of permit requested �V
Starting date Approx.time for aompl n_ Q
Call Before You Dig No. ,3 03 Traffic Services control No.
Show sketch of proposed Work or furnish To be filled out by Town of South Windsor
two copies of sepa drawing
Pavement
Indicate N Prop•sin of out
No.arts
�� •of Deposit
$ �►
Cash()avack#
�l Cut size after Perm.Patch
No.-Cuts
- -- Anal Billing$
Amt.Due Payee$
Amt.Due Town$
Appli nt is responsible for contacting by, date
the Police DepL and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR AMO NT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TO FOR NTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE R LES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WIN OR REEI CUT PERMIT MANUAL -
Signed: Date•
Title:- D.L#•
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard Forms\Permits\Sbvet Excavation Permitdoc