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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3452 Contractor AIROLDI 'S INC.
Location NO I Address 41 ZINFANDEL CIRCLE
Type Work DRIVEWAY TOLLAND CT 06084
qp o. (860)896-0401
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Permit' No. 3452 Town of South Windsor, CT
Date 04/03/2003 Street Excavation Permit
Expiration Date 04/02/2004
Descrip:
Applicant Location
Name AIROLDI 'S INC. S STREET
Addr. 41 ZINFANDEL CIRCL
TOLLAND CT 06084 RIVEWAY
Phone (860)896-0401
Applicant agrees t `*°P°u ` t f S or the amount of bond
required and to re i mb h r any expenses
incurred by the Town y .ww
,pai tQ connection with this
permit and that appli aak a ide by the rules and
regulations for permit 1 uth Windsor's Street
Cut Permit Manual .
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* * PERMIT TO ALL TIMES. * 1
Issued by e "?tc
Date Completed Inspected By _ac-�^
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORt CT
FEE $25.00
Name of Firm h i t-O I CU 's -t C . Phone No. 2 9 3 9-7 La
Address of Firm P.y Fo x 2 I Soa>I h L0+n j j Qr
Location of proposed work, 5_U 47 ]Fos kc- s W v n ds o r
Describe fully nature of permit requested P__oad rD out
Starting date 429a q x_ �2 - 7 33 Approx.time for completion ,-5-; S- 0-3 - r
Call Before You Dig No.2003-/,10 D 9 /a Traffic Services Control No.
Show sketch of proposed work or furnish jo be filig d out by Town of South Windyl
two copies of separate drawing
<-1 z > pave
Indicate North `�b1��� � Prop, size of cut
20
C I —> No.cuts
to
�`> E Amt.of Deposit S by
'� ()Cash( )Check
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Cut size after Perm. Patch
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No. Cuts
Final Billing$
Amt. Due Payee $
Amt.Due Town $
Applicant is responsible for contacting by date
the Police Dept. and C.S.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: Date:
Title: 1� c_J7 D.t. •
PERMIT SHALL BE KEPT ON 308SITE AT ALL TIMES
Standard formsLPermits\Street Excavation Permitdoc
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