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HomeMy WebLinkAboutElectric Street Cut Permits 477 Foster S TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4224 Contractor STI ASSOCIATES, INC. , DAY INC. Location ;,� ., Axddres9 C/O baY STI "•JaLC. Type Work ELECTRIC 0.... Bdx ARLIQ Pc71ie NoSB);.993 �104 Date Insp Needed Ddt Ins +y Time Insp Needed Ins pected P ec t ed B Work in Progress — bJ��S Jai ' ---------- :. P t ... �- AaEe '--1 640 — Permit No. 4224 Town of South Windsor, CT Date 05/15/2006 ""'" Street Excavation Permit Expiration Date 05/15/2007 Descrip: RUN ELECTRICAL FROM' PdT:'E IN;,R©;41 T ,.:HOU Applicant Loca3an Name STI ASSOCIATES, INC DAY INC 077 FOSTER S.TtEE ;, Addr. C/O DAY-STI, LLC VERNON CT 06066 e Q Yox 11ECTR1C Phone (508)943-4104 Applicant agrees, to fuxxix.s,h 'the Town of Scuf1i Wind$pr tkie atount of bond required and to rei4ilitiY e:;:;r ' rho"v?ls'.: :i :':`< ''" "ou., h">> 333sQ,r fp:z">'a'ri' rex. enses inc urred ed b h t e Town: Y ,.: f.: : .�k: �. tez�anc:e':or'"tee"'ar"'wrr�`rk::€ins'.°"�yrinection% � :..,�.,.., :., with this permit t and that a PPc aT s . amilhYz ;;tiv11. abide ,by the rules and regulations for permits as c4•ttlined &�,'tho: Tat�'.o Soilth W:xndsor s Street Cut Permit Manual. :r * * PERMIT TO $E;KEPT ON JO$,.:SITS^ 1 ALL;;,.TTM$b. Issued by —_----�— at1e.. Date Completed Inspected B APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm_ y S' t j L Phone No. {l3- V(v Address of Firm � 13 X 7 7 E p Naly e�. Location of proposed work ? 7 FUSS f�,y Describe fully nature of permit requested f(e�e_ J-40 I,.-1)LA QLY'P �f� Starting date ac `. o Call Before You Dig o. 20696 `S?.- 21 Approx.time for completion_ x0 3�! Traffic Services Control No. Show sketch of proposed work or famish two copies of separate draAMng Indicate North This section to be7outTown of South 0 Pavement Cut No.cuts Est.Size of Perm.Patch(s) Est Pvt.Thickness in. Est.Unit Price$ Amt.of Deposit$ Total Due$ by ( )Cash( )Check# . Permanent Patch No. Cuts Size of Patch(s) Final Billing Amt Due Payee Amt.Due Town By Applicant is responsible for contacting the Police Dept.and C.B.Y.D. Date 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: ,�I / Date: Title: l'!� 'w` {��,t{ Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES