HomeMy WebLinkAboutWater Street Cut Permits 1025 Foster Str A TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2681 Contractor STATE LINE SEWER & CONST CO
Location 1025 FOSTER STREET Address 238 SHAKER ROAD
Type Work WATER ENFIELD CT 06082
Pf one No. (860)749-6176
Date Insp Needed
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Time I nsp Needed %"OY � i t 0
Inspected By ,r
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Work in Progress
Inpuii 4441
Date S�l�
Permit No. 2681 Town of South Windsor, CT
Date. , 05/07/1999 Street Excavation Permit
Expiration Date 05/06/2000
" De`scrip: WATER SERVICE
Applicant Location
Name STATE LINE-SEWER & CONS7" 01,i ;? TER STREET
Addr.. 238 SHAKER ROAD .H
ENFIELD CT 06082 ` Tyq pr;lt WATER
Phone (860)749-6176
F p�
Applicant agrees to f u rla t T
of $ + h W'i nsor the amount of bond
required and to re i mbtj r,,",,�
r any expenses
incurred by the Town fgr7 0,4a141 ern D e01 i `pkTI-a Woe i connection with this
permit and that app 1 i cant - m � h a Hai i de by the rules and
regulations for permits ' line i `01 To rr� , So th Windsor ' s Street
Cut Permit Manual .
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PERMIT TOr �L EP � "� $g T � T ` TIMES .
Issued .®"
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e, , ".
Date Completed �" d ` � "ted By
Irspe
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR \
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm,$ s,7ro 7 4--fl e, C - 7. Phone No. Z:ff -- z
Address of a Li
Location of p oposed work -2!!y ' s° 3d
Descr be.fuily C,ature of permii:-requested p s— a vytiP
Starting date` . '" Approx,time for completion
Call Before Yoh(; ,!g i,�,grOme a Y Traffic Services Control No.
Show"sketch oPproposed work furnish To be f lied out by Town of South Windsor
two copies:of separate drawing
Pavement C16
ut
Indicate North Prop.size of cut
No.cuts a
i„ Amt.of Deposit$ by
r' —
}Cash(}Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$.
'. Amt. Due Payee$
Amt. Due Town$
,t
Aopiicaot!s"responsitile for contacting by date
t Poli POpt.an .O Y.D.
I AGRE 4? FURNI k TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTHIRSOR FOR'ANY EXPANSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
HERMIT/��Ip THAT11 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
}4UWN O��'SOUTH WYNDSOR°S ET CUT PERMIT MANUAL.
Date: Zf _
tle� k � � D.L.#:
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00 IT:SFiALL B PT ON SSIT E AT ALL TIMES
Forms\Perm! traet Exca pn Permit.doc