HomeMy WebLinkAboutMiscellaneous Street Cut Permits Foster Permit No. 3068 d Contractor NEW ENGLAND BORING CONTRACTOF
Location CULVERT. C, ,:r Address 129 KREIGER LANE
T.yjq�a Work MISCELL9N GLASTONBURY CT 06033
Phone No. (860)633-4649
Date Insp Needed Date Insp.
Time Insp Needed a 1ine Insp.
Inspected By "
Work in Progress
Inpc1"t _ Date
Permit No. 3068 Town of South Windsor, CT
Date 02/01 /2001 Street Excavation Permit
Expiration Date 02/01 /2002
Descrip: BORINGS FOR CULVERI DESIGN
Applicant Location
Name NEW ENGLAND BORING CONTRACTORS CULVERT C
Addr. 129 KREIGER LANE
GLASTONBURY CT 06033 Type of Work MISCELLAN
Phone (860)633-4649
Applicant agrees to r ie�a t own" South Windsor the amount of bond
required and to reimbar a th- Fp t i= 54tth Windsor for any expenses
incurred by the Town for maintdha66,6. 6+ r parr work in connection with this
permit and that appy'1 i par t i sa fa# 1 )i�r i ifh s atnd will abide by the rules and
regulations for per?m1ta; 48 00tl h Fawn of South Windsor ' s Street
Cut Permit Manual
* * PER IIft T,Q E` 101 ®N "-SIT, - AT ALL TIMES.
Issued by t l -Cr y
;
Date Completed _ 4 1 ? Ir►saec't By ---
01/09/2001 12:25 8606447280 SOUTH WINDSOR PAGE 05
�. 4 3 06 6
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm � V ti;; Phone No,
Address of Firm \
Location of proposed wor S - Kt '
Describe fully nature of permit requested
Starting date Approx.time for Completion
Call Before You Dig No. 000 l0 '}A Traffic Services Control No.
Show sketch of proposed work or furnish To be filled our by Town of South Windsor
two copies of separate drawing
PaY-ement Cu
Indicate North
Prop. size of cut
No. cuts
Amt.of Deposit$ by
()Cash()Check#_
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt. Due Payee$
Amt, Due Town$
Applicant Is responsible for contacting by date
the Police De t. 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 OF SOU WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: a'---
Date: C
Title:
PERMIT SHALL BE KEPT ON]OBSxTE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc
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TOWN OF SOUTH WANDSOR, CONNECTICUT
DEPARTMENT OF PUBLIC WORKS
PRELIMINARY DESIGN Weston & Sampson
No. D.I. Dr.By CkBy ADP•BY DEtDtton ENGINEERS,
ER CULVT A AND CULVERT C A P P R o v E D
FILE NO. CARD NO. SCALE: CONTRACT. JOB NO. DR.BY DSN.BY CKK.BY APP.BY 712E Yoh Sbwt.Ok bum Cwowtkut OEEA
1"=20/ REREGISTERED PROFESSIONAL ENGINEER DATE Wt