HomeMy WebLinkAboutDriveway Street Cut Permits 52 Foster Ro ' TOWN OF SOUTH WINDSOR INSPECTION REPORT 6
Permit No. 3217 Contractor J . B.PAVING COMPANY
Location '-Q.052 F06TER.=.ROAD Address 105 EDGEWOOD DRIVE
Type Work DRIVEWAY SOUTH WINDSOR CT 06074
PhdneNo. (860)725-6490
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Input Gam' Date
Permilk N6. 3217 Town of South Windsor, CT
Date 10/17/2001 Street Excavation Permit
Expira:tlon Date 10/17/2002
Descrip:
Applicant Location
Name J . B. PAVING COMPANY _ 005,E PQStER ROAD
Addr. 105 EDGEWOOD DRIVE
SOUTH WINDSOR CT 060� Type 0ft ,Work DRIVEWA"
Phone (860)725-6490
Applicant agrees to' urnasFi thy, r 3nu-t Windsor the amount of bond
required, and to reimbrsth ;7own,; �sfs �rtin door ' far any expenses
incurred by the Town k r: MA3 tenah�a pal r rwor,k` i n connection with this
permit and that appl fc' ant:h i ' "ami 1 gar r an c , T 1 1,r alai de by the rules and
regulations for permits a$ $both Windsor's Street
Cut Permit Manual.
* * PERMIT T l 8E , kEPT a �1 S ,T,E A'f ,ALt TIMES.
Issued by �.�c .����- 6
T.'t
Date CompletedInspecte 8y '��! `` -�
AV
7- 0 3217
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR CT
FEE $25.00
Name of Firm nu,14L No. 2&L� 1 ,90
Address of Finn �P
Location of proposed work
i
Describe fully nature of permit requested �w `•
Starting date 0 Apprex tone tr G"Xion „
Call Before You Di Traffic Services Control'No.
Show d wtch of propose work or furnish 12 NO im,by IM 9 f South Windsor
two copies of separate drawing
Indicate North ` " Prop.sib of out
No.arts
Aft of Deposit S by
f)Cam Check
Cut size.after Perm.Patch
No. Cuts
Amt Due Payee$
AmL Due Town$
Applicant is responsible for contacting by date _
the Police Dept,and C.O.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 CONNCCRON WITH THIS
PERMIT AND THAT I AM FAMILIAR WITH D WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
'TOWN OF SOUTH WINDSOR'S ERMIT MANUAL.
Signed: Date: tq v
Title: V D.L#:
PERMIT SHALL BE KEPT ON 30BSI11E AT ALL TIMES
Standard Forrns\Perrnbs treet Excavation Permitdoc