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HomeMy WebLinkAboutWater Street Cut Permits 51 Foster Road TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 2691 Contractor CORREIA EXCAVATORS INC Location 0051 FOSTER ROAD Type Work WATER Address 47 SMITHBROOK TERRACE GLASTONBURY CT 06033 0h6tre No. Date Insp Needed Date Insp. , Time Ins p Needed Tx�he.Ml�s�i�., Inspected By ,; ---Tr 3 4 Work in Progress Input Date Permi t% No. 2691 De, - 05/19/1999 Town of South Windsor, CT Street Excavation Permit Expiration Date 05/18/2000 Descrip: INSTALLATION OF WATER LINE Applicant ,:•. .m . Location x Name CORREIA EXCAVATORS I C , Addr. 47 SMITHBROOK TERRAQE-', ��� F�ST ROAD GLASTONBURY CT 060 � Phone '}<`;.WATER Applicant a r e e s tO a Wxdor the amount of bond required and to re i mtju, incurred by the Town �f ` r �P �th � f©r any expenses y €YC! ,rrt�rl� � ��permit and that app l i carats fzk pay rt connection with this regulations for �'� aml« an �, 9 pe rm i�s a ° �` _ � � �� � � 'abide by the rules and Cut Permit Manual . � � ���� � ,� ° � � ��O�th Windsor's Street tart 7 a * PERM * IT 1 `Kit ,c 1rJ A 4 AtL TIMES. Issued by � > ,,. Date Completed 6` - "inspected By e APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSORf CT FEE $25.00 Name of Firm C Phone No Address of Firm r` o of• C 3 3 Location of proposed work %5-1 Describe fully nature of permit requested 0`' T Starting date 41 4 Approx.time for completion Call Before You Dig No. 0 9-79 Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt.of Deposit$ by ! , O Cash O Check# Cut size after Perm. Patch g rt No. Cuts Final Billing$ Amt. Due Town$ 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 OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: 6 ae ( L o/V.o'L-e° Date: 6'/1 T Title: D.L.#: O PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc .