HomeMy WebLinkAboutWater Street Cut Permits 1035 Foster Str TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2677 Contractor STATE LINE SEWER & CONST CO
Location 1035 FOSTER STREET Address 238 SHAKER ROAD
Type Work WATER ENFIELD CT 06082
Phone No. (860)749-6176
Date Insp Needed i5'�i Zz�9 = ' pate Insp.
Time Insp Needed —leg. Time Insp.
Inspected By
Work in Progress 1�7�e 32,11!;, : 7 '' C�
Input Date s!/Tye
Perm�i� No. 2677 Town of South Windsor, CT
D19te 05/07/1999 Street Excavation Permit
Expiration Date 05/06/2000
Descrip: WATER SERVICE
Applicant '
Location
Name STATE LINE SEWER & COOS 5 OST R STREET
Addr. 238SWAKER ROAD
ENFIELD CT 06082 T pe of qbi4� WATER
Phone (860)749-61 76 m
Applicant agrees to urr sl tl�� �� Sc��C�Fi` W�&t�d�or the amount of bond
required and to rei mbur a tie �owrt� bid r fi)r any expenses
k
incurred by the Town f or. r sn � nepa A 0 connection with this
permit and that app 1 i� t «1j'4arni„ �. t an� i de by the rules and
regulations for perms to ,a �° d
11 To� oath Windsor's Street
Cut Permit Manual .
s
* * PERMIT TO S lk" ITJE° Afi ,ALL TIMES.
Issued by
Date Completed — 6 I' ispected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm Phone No. f 7�
Address of Firm ,�
Location of proposed wor a is-
Aw
De
scribe fully nature of permit requested �.� r_�.
Starting date Approx.time for completion is
Call Before Yo ig —Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
No.cuts
tAmt.of Deposit$ by-
'�_ �^��—.,.-c---• {)Cash O Check#
1.
Cut size after Perm. Patch
No. Cuts
Final Billing
Amt. Due flown$
Applicant is responsible for contacting by date
the Police Dept.and C.B.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 OE SOUTH WINDSORIS STREET CUT PERMIT MANUAL.
Signed: Date:
Title:_/ D.L.#.
PERMIT SHALL RE KEPT ON 3OBSITE AT ALL TIMES
Standard Forms\PermjtS\Street Excavation Pennit.doc