HomeMy WebLinkAboutWater Street Cut Permits 77 Foster Stree TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2458 Contractor COVEN CONSTRUCTION CO.
Location. 77 FOSTER ST Address P.O. BOX 427
Type Work WATER
COVENTRY CT 06238
P Gne No. (860)282-0526
Date Insp Needed T-YZ, Date "Ins 7�9$•
Time Insp Needed
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Inspected By
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Date
Permit No. 2458 Town of South Windsor, C7
Date 06/29/1998 Street Excavation Permit
Expiration Date 06/29/1999
Descrip-. WATER BLOWING UNDER RD
Applicant Location
Name COVEN CONSTRUCTION CO. 77OT ,"ST
Addr. P.O. BOX 427
COVENTRY CT 06238Type"a .. wp0WATER
Phone (860)282-0526
Applicant agrees to .fury Ysh the Town, cif S�,outh Windsor the amount of bond
required and to reimburse ,the Town of South 4�f,a nigr or any expenses
incurred by the Town for rrialnte'nanc® or", repair,-,,w�rk" °�,n connection with this
permit and that appi rant is "familiar wtta and "wji abide by the rules and
regulations for Permits as" outlined"`in , the, Town of
Cut Permit Manual . South Windsor ' s Street
PERMIT TO ag, KEPT ON 4oa SITE .AT ALL TIMES.
Issued by
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Date Completed bspected By ���,�
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APPLICATION
OWON OF SOUTH EXCAVATION PERMIT
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm rjOA)d Phone No.
Address of Firm 'P�) 13s;A y?a:)
Location of proposed work
Describe fully nature of permit requested
GI".) 1 A-Y cv C"`,
Starting date Approx.time for completion /J
Call before you dig no. 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 out
No.cuts O
Amt.of Deposit S by
()Cash()Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee 4
Amt. Due Town S
Applicant is respon ible for ontacting
the Police Dept. a C.B.Y. 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 EXP NSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
PERMIT AND THAT I AM FAALIkR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WIN 0 'S EET CUT PERMIT MANUAL.
Signed: Date:
Title: (, L �� D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES