HomeMy WebLinkAboutCAble Street Cut Permits 106 Gail Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3402 Contractor COX COMMUNICATIONS
Location "01s Address 801 PARKER ST.
Type Work CABLE �.... ...., MANCHESTER,CT
06040 CT 06040
`I n No. (860)432-521 1
Date I nsp Needed
Time I nsp Needed s 3 PM
Inspected By
Work in Progress w
k
s
t Date JO a
Pei it No. 3402
Town of South Windsor, CT
Date 09/25/2002 Street Excavation Permit
Expiration Date 09/25/2003
Descrip: INSTALL CATV LINE
Applicant Location
Name COX COMMUNICATIO LANE
Addr. 801 PARKER ST.
06040 CT 06040 o k CABLE
Phone (860)432-5211 u
Applicant agree h elAt ndsor the amount of bond
required and to re '�a \ a ou for any expenses
incurred by the To n in re in connection with this
permit and that ap 1 `' h abide by the rules and
regulations for pe i o South Windsor's Street
Cut Permit Manual . y
* PPERMIT 1 T ALL TIMES.
Issued by A t l e NV
e
Date Completed Inspected Bya�.C__
Sep 24 02 02: 56p Witch Ent. Utility Div 4138210955 p, 1
APPLICATION FOR STREET EXCAVATION PERMIT
® TOWN OF SOUTH WINDSOR --
,` PUBLIC WORKS DEPARTMENT �- n
TOWN HALL
� I
�( ®� 1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
W141 VE b
Name of Firm ( C!OK r!�CJ!-�IJ�UdJ1C�.�ZCS Phone No. y t06 —
Address of Firm kI n t ITtZR i A
Location of proposed work ja 1..A..
Describe fully nature of permit requested i , t C trT'%,` i—s,u
Starting date GIa r5 Approx.time for completion - !—3 OA-4=S
Call Before You Dig No.__ Q A .1 3 9 b!a( f 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
PavementCu
Indicate North Prop.size of cut
No.cuts
Amt. of Deposit$ by
22 �� ()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 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: 'L Date: a--
Title: D.L.#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc
Sep 24 02 02: 56p Witch Ent. Utility Div 4138210955 p. 2
Mass:888.344-7233
Mass
DIG SAFE 2002 3901261 CLEARS 9/27 7:00
Mass lo#t793o NUMBER ON
AM
Conn-800-922.4456 )
Fz 20actor#448
116 So
Contractor#1187 r'T/DATE v � I _
STREET
q-23 /02
ADDRESS
P
:fl. iY 7
�/ �o
-ROSS ST C_Pi
3 " RANGE IF DIFFERENT CATV WORK
} ° 2411
{
AREA MARKED ? YES
y i
{
,
f a
l
fI�
1