HomeMy WebLinkAboutTelephone Street Cut Permits 105 Fairvie L TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3245 Contractor CABLE CONSTRUCTION CO.
Location An""* Address 405-D NEW STATE ROAD
Type Work TELEPHON MANCHESTER CT 06040
' Phrase No. (860 )649-821 7
Date Insp NeededDte Insp .' 7
Time Insp Needed Time .Insp.
Inspected By `�
Work in Progress ��/
J�CJ�CI3M 5, ]A.Le MeT al
s
.r
Input _ Date �Z
Perm'i t No. 3245
Date 02/13/2002 down of South Windsor, CT
Street Excavation Permit
Expiration Date 02/13/2003
Descrip;
Applicant Location
Name CABLE CONSTRUCTION CO 0105 EAIRVIEW DRIVE
Addr. 405-D NEW STATE ROAD
MANCHESTER CT 06040 Type 'of .Work`',TELEPHONE
Phone ( 860)649-8217
Applicant agrees to I furni,sh'"the 'Town of .South Windsor the amount. of bond
required and to reimburse ,the Town- of South W ndSOr. for any expenses
incurred by the Town for maintenanee' or repair Wprk in connection with this
permit and that apollcant is Tamil,ar w"' and "Will abide by the rules and
regulations for permits as ou,�iined in the Town of South Windsor ' s Street
Cut Permit Manual .
* PERMIT TO BE KEPT UN JO3 SITE AT ALL TIMES.
Issued by
----. =- Title
-
Date Completed -- ''�- --------
-- __ Inspected By
FOR a
TI M E�_A.M•
P.M.
OF 1
❑FIL7tYED
PHONE ❑ e e�
EA CODE 1-3
�3lEQ,
MES,'AAGE NUMBER Y7LII�"':CALL
EMENSION
SIw•I;ALL
WILL CALL
.
A #w.0
ED in .Tt
FORM 4003
.r
k - r
l- Ia
�o� c)Csc�
� t
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
_ s
Name of Firm Phone No.
Address of Firm
Location of proposed work /
Describe fully nature of permit r uested
Starting ddte - Approx.time for completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furnish TA-be filled out by Town of South Windsor
two copies of separate drawing -^
Pave ent Cut
Indicate North Prop.size of cut
/ No.cuts
Amt.of Deposit$ -by
D O Cash O Check#
T Cut size after Perm Patch
emorr
No. Cuts
Final Billing$
Amt. E)ug-Payde-f
Amt. Due Town$
Applicant is responsible for contacting by date
the Police Dept. and C.B.Y.D.
I 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 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 i� Date:
Title: D.L.#•
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\P-ermits\Street Excavation Permit.doc . _