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HomeMy WebLinkAboutWater Street Cut Permits 985 Foster Stre F. - � S6 � S•G Permit No. 2671 Town of South Windsor, CT Date 05/03/1999 Street Excavation Permit Expiration Date 05/02/2000 Descrip: WORK IN GRASS AREA Applicant Location Name DAVIS CONSTRUCTION 09$v5 "Et��STREET Addr. 74 BARBER HILL RD BROAD BROOK CT 06016 '71Type t�f .. ©r WATER Phone (860 )872-1400 .. Applicant agrees to,--f t ate`K f Sift l D. or the amount of bond required and to re i e6,,Nttft Tow W r�. r any expenses h incurred by the Town � a i IV �� ��n connection with this Permit and that app 1 i 4artt' F Y Y '`W k3` d � ,am 1 � l 1 �srb i de by the rules and regulations for permits asd � � , Cut Permit Manual . Windsor's Street * �* PERM ALL. T .M,ES. f } _. Issued by Date Com ,leled � � Inspected BY J APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC TOWN DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm A J t S C.P,-4 a Phone No. 76 6- S179.-/ 100 Address of Firm jp�bm Location of proposed work 9,95 -osJlekR -i. E)C 41 Describe fully nature of permit requested ct e CRL��Ge Starting date Approx.time for completion 5�hRS Call before you dig no. 192 1&6AI,5b 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 0 fy� L- No.cuts N -Feste m '34 Ex" Amt.of Deposit $ by Edge e �-' p a,v`tw'en+ t left ()Cash()Check# u; SeR��c� Cut size after Perm. Patch No.Cuts Howse- Final Billing $ Amt. Due Payee $ Amt. Due Town $ Applicant is responsible for contacting the Police Dept. and C.S.Y.D. by date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO ReMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT 1 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• 4•i'l lAli-•• 04)1 A- Date: °5 e 3-C/9 Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES