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HomeMy WebLinkAboutWater Street Cut Permits 63 Foster Stree TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 2503 Contractor STATE LINE SEWER & CONST CO Location 0063 FOSTER STREET Address 238 SHAKER ROAD Type Work WATER ENFIELD CT 06082 Phone,�o. (860)749-6176 Date Insp NeededDaCt�„�' Rasp Time Insp Needed 7line 'CIS. M Inspected By .C' c?r� Work in Progress. lxlfl wN"!`M/"�`4l�q l) o In u�t. P Date 1(2l Permit No. 2503 Town of South Windsor, , CT Date 10/09/1998 Street Excavation Permit Expiration `Date 10/09/1999 Descrip: NO PAVEMENT TO BE DISTURBED Applicant Location Name STATE LINE SEWER & CON T 60 ;00636, PQ0 T03 STREET Addr. 238SHAKER ROAD '� ENFIELD CT 06082 p� �sf .VphPi rWATER Phone (860)749-6176 ., Applicant agrees t4 i"urrh < he; , Wt! xf au� � f7dsor the amount of bond required and to reimburs® the�;Tbwn -ofauir ' Tirµfdr any expenses incurred by the Town fog m naAc- epai connection with this permit and that appliantami ] �� W an a6i de by the rules and regulations for permitsas' au1 � � 44th Windsor's Street Cut Permit Manual . tea; a * * PERMIT TO,, BE- ItEP`T, QN• QS ;SITE AT"">ALL TIMES. Issued by _ �Zl.1A. T.i'tIe i'Ko?�CJG,.� FC Date Completed — Inspected By o APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm :4o2te L�A.e- ( �. cf(b✓l r Phone No. —&() `f lQ c 7 b Address of Firm �'_�R �Q�L�G/- P�� ��ci ��v cto©&-5' Location of proposed work �2 Describe fully nature of permit requested r - n Starting date /0^/3 -9 5 Approx.time for completion Call before you dig no. 9 g 41 /Oc3L-79� 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 V _© P&A)e�e,,-JI .-L_ No.cuts ✓ ce� Amt. of Deposit S by Cash()Check# 7C-0 -f-. 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.B.Y.D. by date 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: Date: 1©` �- 10 Title: D.L.# o— PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES