HomeMy WebLinkAboutStorm sewer Street Cut Permits Felt Road -l�-4 .♦ Y.A-. .-sty, ,q..? 1:. .,. :_,y�.,sr. .>i.,�"'" F.k_,s «`Y r'd'.• *f+s� `i°t
k_qq,
BOND TOWN OF SOUTH WINDSOR
r
Arn't Req. PUBLIC WORKS DEPARTMENT Date SP PT 2 7� 1988
TOWN HALL
Am't on File 1540 SULLIVAN AVENUE Permit No. ,5Ll b
SOUTH WINDSOR, CT 06074
to of Expiration Permit Expires
APPLICATION FOR. PERMIT
FEE $10.00 1772 t - 7?/�j
Name and address of applicant DZPltl CoNST, CO. 2N,. Phone No. 6LI9- 60a7
Location of proposed work Fe,t-r- ROAb
Describe fully nature of permit requested 'ReconySTA�4/Ir STa/Lw. SC4AJe4
Foos. �0/11 ✓P I1102Zr4 ON FcIT 10/L 4Pp,7r-,1 'r►1C11
a00 Fee T
Insurance on file with Town es no Date policy expires
Name of Insurer
o Approximate time for completion Z LVerklS Desired starting date _,Sec r 30 lq t
cd
Show sketch of proposed work or furnish 2 copies of separate drawings
04
a �
w Q�� f j Jk?�, r✓) n.�
0
-4
14 J� L -
0' Fe LT �Z0A7
., .C.P. 2
R F
r
a 46
t.. .
U �
a
N
¢' Applicant is responsible for contacting the Police Department and CALL BEFORE YOU DIG.
I agree to furnish to the Town of South Windsor the amount of bond or deposit 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 (Pavement Cut Regulations.)
1 '
Signed
i
APPROVED: DATE APPROVED. DATE
Supt. of Highways Towfi Engineer
FOR INSPECTOR: Date. work started Date completed
Sufficient notification received: yes no Type of repair: Perm. Temp.
Unusual conditions encountered
\, Material slips attached: yes no Dated for Permanent repair
Signed
Inspector
t
d
D sou ss E.D w 1+14
i