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HomeMy WebLinkAboutGas Main Street Cut Permits 195 Governor or • TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3189 Contractor YANKEE GAS Location A , f : t1�tGfi` MA Address 112 PROSPECT HILL RD Type Work GAS E. WINDSOR CT 06088 Phone No. (860 )292-2242 Date I nsp Needed Date Insp. 0/ 6,3 Time Insp Needed "ilM,e I-nsp , Inspected By Work in Progress Input Date �' �� Perm]t No... 3189 Town of South Windsor, CT � x 08/28/2001 Street Excavation Permit .:. 'Explratio,n Date 08/28/2002 Descrip: INSTALL MAIN AND SERVICE Applicant Location Name YANKEE GAS 5 ` 41.5 QOVBRNORS HIGHWA Addr. 112 PROSPECT HILL RD .." , E. WINDSOR CT 06088 ype of„ Ir'k GAS Phone (860)292-2242 ., Applicant agrees to 1'`urnih that . So� h Wi.ndsor the amount of bond required and to reimb6ebe; i - T wn` f' 6jjth,or: for any expenses incurred by the Town pa f* work'fo � Rts� r en t e �:i n connection with this permit and that app 1 i cant; +s f ami 1 � an�f. j1 T abide by the rules and regulations for permits'a o�tl fn +s 'Town ,.,Qf 'South Windsor's Street Cut Permit Manual , .. * * PERMIT TO BEi KEPT' +i J, .SITE "A .All . TIMES. Issued by Title ` 05c.i �tiGIL Date Completed D/ �s' L> hrr pected By 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 VAO KEE GAS Phone No. ��o a, �,�,��� Address of Firm /r7/jLL Location of proposed work /95 C�ot,✓E,2�(/p/ZS /,��y -.��✓TEl2..1/,q�/d/(//�L /�/�G �� Describe fully nature of permit requested FCC'AI/�jE 7a ..s�vrcE Starting date_ —5;5-47— t Z001 Call before you dig no. 20©/3 7oG�Z Approx.time for completion S ,yS Traffic Services Control No. Show sketch of proposed work or furnish To be filled Out bV Town.Of So wlndtnr two copies of separate drawing Pavement Cut Indicate North Prop. size of cut Ul No.cuts �! 17M7;ERAAriolJ AL �L �' Amt.of Deposit S by <i O Cash(1 Check# � N Cut size after Perm. Patch Hw y Cx%l/E2.(/A2S ¢, No.Cuts 4 EX/ST/rV Final Billing S Amt. Due Payee S Applicant is responsible for contacting Amt. Due Town 6 the Police Dept. and C.B.Y.D. 11 by 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 Date: Title: D.L.B PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES