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HomeMy WebLinkAboutSewer Installation Street Cut Permits 89 y'a Town of South Windsor, CT �e'r+ iet, th 2228 Street Excavation Permit DAte, 07/16/1996 Drip: ration Qate U7/ 16/ 1999 _ - Applicant Location TER STREET COVEN CONSTRUCTION CO. ' 0.896POS ,STREET Add r . -P.O. BOX 511 y o fog NEW SAN LAT COVENTRY CT 06238 Phone (860 )282-0526 Appl icant agrees to furrn 1. the .Ton of S©uth the amount of bond required and to reimburse 1 he ";1"owr of" S<QUith Wir7dsbr for any expenses incurred by the Town fo►". +ai r� enanos r>r. t��pai rwc� �k . i n' connection with this permit and that applicant 1 , fa 7" '1I,aiIwtlhh; apdn"�"o f1SabtheWbndSoer' suStreetd regulations for permits .-as:"60tlined Cut Permit Manual . * PERMIT" TO "BE KEPT,'ON'', Jbo' ""S'ITE AT ALL TIMES" . � Issued b yo'�_ .� -_ -�.��-�-- -= Ti t 3 e Date Completed /_ -ice�r� — Inspected By __ APPLICATION FOR STREET :EXCAVATION PERMIT z TOWN OF SOUTH WINDSOR Arnt. Bond Required _4—/t PUBLIC WORKS DEPARTMENT Amt. on File S"i� t:. TOWN HALL Permit � ^i2.28 Date of Expiration -- 1540 SULLIVAN AVENUE Date r�b Ins. on File (yes O No SOUTH WINDSOR, CT Permit Ex Tres Expiration Date 7—ee--jV? FEE $25.00 Name of Firm C Address of Firm 0 V k t4 s7 C '1" 06,0?f Phone No 4'8a d Sd 9 Location of proposed work S 0!�Q S tom` l^� Describe fully nature of :permit requested /P f f✓a 1��� Of Starting date Approx. time for completion Call before you di No. c p Traffic 9 1 U c Services Control No. Show sketch of proposed work or furnish To be filed out by Town of South Windsor two copies of separate drawing Pavement Cut Indicate North Prop. size of cut _��/ No. cuts Amt. of Deposit $ 4r;r by O Cash (Check # Cut size after Perm Patch No.'Cuts Final Billing $ ....�.... - Amt. Due Payee $ w Amt. Due Town $ _ Applicant is responsible for contacting the Police Dept. and C.B.Y.D. by date I agree to funish 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 willhabid by he rules and regulations for permits s outlined in the Town of South Windsor's Street Cut Permit Manual. Signed: Title: D.L.L.# 7 Date: Z&/Cm pj,00 PEARAIT SHALL BE KEPT ON JOBSffE AT ALL TIMES APPROVED: —ram ..arw./DATE: 7 WN ENGINEER F R INSPEC R: Date work started /�>��� Date Completed_> /� 6 Sidne Date WHITE - PERMIT v PINK - ST. SERVICES YELLOW - ENGINEERING "°° ``' GOLDENROD FINANCE F