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Water Street Cut Permits 421 Governors H
TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No.' 3159 Contractor MDC Location ,ftj love I MOM Address P.O. BOX 800 Type Work WATER HARTFORD CT 06142 Phone No. (860)278-7850 Date Insp Needed D-a `er Ins p Time. Insp Needed T`ime �I,n _ p Inspected By Work in Progress Input - Date Permit "No• 3159 Town of South Windsor, CT Dame-f 07/3Q/2Q01 Street Excavation Permit Expiration Date 07/30/2002 Descrip: REPLACE FIRE HYDRANT Applicant Location Name MDC U43,1C>�/ERNORS HIGHWA Addr. P.O. BOX 800 HARTFORD CT 06,1,42 T�!p trP= Wor^k,WATER Phone (860)278-7850 Applicant agrees to furnzsh th8 Totir af, Ssuh Windsor the amount of bond required and to reimburse the°flown of &ou h W# ar' for any expenses incurred by the Town f©r� t� f ,tna� ie . r repai1 ► �k. -i ri connection with this Permit and that app l i can't ami h IF,ar, 'v anti;;ro� 1� abide by the rules and regulations for permi ts°`%s dpt 7o► 1 df ;South Windsor 's Street Cut Permit Manual PERMIT TO B FE PT"` ON J.0 ���'� 'AT :A�`L TIMES. Issued by _ Ti,,tTe Date Completed Z, Inspected By /� ,.u s —30-01 12 : 13P z P.01 t t NIX The Metropolitan District FAX To: 2;�ZZe'� From: Fax: Pages: Phone: Date: k SUBJECT: , u t A s t a. 125 Maxim Road Hartford Connecticut 06114 r Fax: 860-550-7961 Telephone: 860-278-7850 Systems Repair ext. 3610 Construction -Survey ext. 3831 r is :30-01 12 : 13P P.02 APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT .FEE $25.00 Phone No. . =�•ess �t Firm ��J.S /�%y���_:v%- r/��' „x..:•c,, of PWPOSed work Jcscnbc fully mature of permit request ng daCC Gt/ ,'�:' �,30 �� �! �� Approx- time for completion ,!Cei' before you dig nv.� / Traffic Services Control No, r SFicw sketch pt proposed work or turni;,'t To be filled out by Town of So. Windsor two copies of seoerate drawing Pavement Cut Indicate North Prop, size of cut No.cuts Amt. of Deposit 6�^by (1 Cash (1 Check if Cut size after Perm. Patch No. Cuts Final Srllir.q t Amt. Due Payee 0 Amt. Due Town 6 Applicant is responsible fcw contacting i °slice Dept.and C.S.Y.D. by_date AGR t `�C FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REDUIRED AND TO RE.1M8URSE THE TOWN OF y w'\CSpR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS AND THAT I AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE —OWN OP SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. t Date; 7- ,3 G — PER"A!IT'SHALL 8C KEPT ON JOBSiTE AT ALL TIMES O ,N -30-01 12: 13P P.03 u"�'-3^/2001 SERVICE MAINTENANCE ORDER JREA Copy 3 Page 1 Order 4005125 Order type SM02 Service: Order (with revenues) Description. HYDRANT SW Surf date 06/26/2001 End date 06/26/2001 4 Normal/Routine s %us REL PRT NMAT PRC SETC r ncrLecation MDC-50 0-14-G015 0-H HYDRANTS ON GOVERNORS IIWY Equipmart 10326382 HYD 431 GOVERNORS IIWY Ascemvly Location. 14-02 Roost 16965 r a n,'PlonGroup I SR 0500 RepairSupv MainWrkCenter INFREPR 0500 HYDRANT SW REPLACE HIT HYDRANT CAST 42001-10751 Operation 0010 C, t;ts RE L un newer INFREPR 0500 Repair Cnr.rrol kev PM01 campConfNo. 304916 Operatiott key Milestone fork 0 .0 H Activity type I Duration 0 . 0 .H Number 0 EurlStorlDote 0 6/2 6/2 0 01 Start time 0 7 :3 0 : 0 0 Zut eEndDate 0 6/2 6/2 0 01 End time 0 7 : 3 0 : 0 0 work- 0. 000 H Total buffer 0 H End of report Date: C.B.Y.D.#,,?0c3 /,-z Remarks: Arrival: Off: On: ,Super*9r: