HomeMy WebLinkAboutWater Street Cut Permits 436 Felt Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 4170 Contr Ctor CoNNBCT$ UT WATER COMPANY
Location
. Address 'NORTH.R6RD.
Type Work WATER EASTPNDw�0Y2 CT;;;06088
o.
P'ho3ae,Np G8x�).. 9 .52
Date Insp Needed _R Da'te IrB----------- � �k
Time Insp Needed
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Inspected By
Work in Progress __—Q(�
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Permit No. 4170 Town of South Windsor, CT
Date 03/28/2006 Street Excavation Permit
Expiration Date 03/28/2007
Descrip: REPAIR WATER SHUT-Q:EF
Applicant Ioca ;ion
Name CONNECTICUT WATER COMPANY. p6ELlsROA6
Addr. 25 NORTH ROAD r
EAST WINDSOR CT 0608$' gyps of kork 14ATER
Phone (860)292-5552s:
Applicant agreas;=to fuxnaSh the iz zxf :5gy3i WInC�Sahe'airount of bond
required and to reimburSe;; fhe,Tbwn oorah, Windsor fo an y exFsenses
incurred by the ToWr3 �qr"Ma�:z�te�anm ;p reaaz waxk ixi: annetYon with this
permit and that applicant, �s f,�-t iliar# Nast nci ;aril aide by°tlie rules and
regulations for perrit5 as ot'1: nd... . ze >Tgwn off.Sc�uCh y3.jndor s Street
Cut Permit Manual.
* * PERMIT TO"BE FCEPT t5N ,7O�iI,�E ALL TIMES'
Issued by --- --- .. Title
Date Completed
I'n's'pected By . �'u
3,2"INAR, 27. 2006 ' 5; 01 PMu ""CONNECTICUT WATER CO"""" 1V N0. 998 P. 2--
APPLICATION FOR STREET EXCAVATION. PERMIT
TOWN OF SOUTH WINDSOR _ Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLNAN AVENUE
SOUTH WINbSON CT 06074
FEE $25.00
'Name of Firmi���r��r� Gv' �-G C'o, w Phone No. 3- ass"
Address of Fam zs' /,forth /�ri� �sr G�iwv�sc��
Location of proposed wo
Descry 6 fdly nature of permit requesteder-
Starting date 9 zB o 6 Approx time for completion_ Z r od?h_I
Call Before You Dig No. Traffic Services Confrol No
Show sketch of proposed work or fizdsh
two oopres of separate d�n9 Indicate North rn section to be dautby
eut
TT-►wn of South Windsor
Pavement Cut
No.cuth
Est'Slze of Perm_Patch(s)
• 4!5'94V Ar- gliC Est.Pvt Ttddakess .En.
Est Unk Price$
AmL of Deposit
'f Total Due$ by
)CZM( )Check#
Permanenf Patch No. Cull
Size of Paws)
. - Final Bifl'uig .
win AmL Due Payee
Amt Due Town
prcant is responsible for coht�
the Poflce Dent and C.$.Y.D.
I ACRES TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND,REOUIRErD A'ND TO REIMBURSE THE
TOWN OF SOLrrH WINDSOR FOR ANY EXPENSEg INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION,WJH THIS PERMIT AND THAT E AM FAMILIAR WETN AND WILL ASIDE SY THE RULES AND REGULATIONS FOR
PERMITS O m 27 OF SOUTH WINDSpR'S STREET CUT PIwR 1T UAL.
Srgned Date: 02�
Title: Driver's License fk 2 --133 r3(�9,9
PERMIT SHALL BE KEPT ON dOSsITE AT AI..L TIMES