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HomeMy WebLinkAboutDriveway Street Cut Permits 537 Graham R _T TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3951 es' tr�,ct x M&S pAyING`:PND SEALING, INC Location 0537 GRAHAM ROAD "i,, <r ,,.^ Type Work DRIVEWAY Acl'tess 435ux D„`TD N15S'1`R 06074 ?` P;kra.zie"`:N©�f., '. 3)x.6.4;8 '7.9:T:•§, r: Date Insp Needed : �<���.,. --------- — e Insp Time Insp Needed _^� dame By Inspected K.<:: ;,,�:. ..r>•,,,� ���,,` X. b ,.: b , .. y Work in Pr ogress ¢ � � .. y :^....i::.. .x, r: K.kJ csf��k^:�i^fF'. "4•• -.,fix,.:,.".,.,+;,y'``,';� .-- hDate Permit No. 3951 Town of South Windsor, CT Date 04/28/2005 �• Street Excavation Permit Expiration Date 04/28/2006 Descrip: FX A01. Applicant LOC'd Name M&S PAVING AND S' . � « x + HAMa Addr. 435 BUCKLAND ROAD, ` W INDS OR C SOUTH .' �`� � tP6 Phone (860)648-1915 ., A 1 is PP agrees `tro<: �urx��'Af�'the Toaan. �<'�' '<h �. ,�., � � WinA-sbY-"tb, a�n4'unt of bond required and to re m}l Ai s '' t'fie'`Te fii# i gF. t dsor J1SZar:;,A:-- ..e'x enses r: '•":.. > :ysco>>s:::�Pv incurred by the Tows :q `> na} �,;;Dr ® €a r.; z << rxinecLon with this i:'X gpermit and that aPPl.i /aetwa " i de b�` "t e rules and regulations for permits as hIindsor's Street 9 P i; u iti•; Y4 ' Y@ Ii',o1"'S""':Y�; Cut Permit Manual. y: #✓%rz R/az;>+" %*-"y` * * PERMIT T(Y::;B$.•fEPlT""` .tJ�?Bza�1 k'i` 4PI' TICvI4!$. Issued by i Date Completed _--......_-- Inspected By APPLICATION FOR STREET EXCAVATION PERMIT 5 of TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm %/1) S PO V'/Al yq-V6 �4 (�l/V6 J /NC• Phone No.(g,&6) S— Address of Firm -0-135 RO) Location of proposed work 53 7 6,e�k1)j o" Describe fully nature of permit requested P-EPC a&6 be4 —CAA / � (k)1.bE-nl L Si .E 9gre? HK1w:U) Starting date - U Approx.time for completion On-,e h'/0/714� Call Before You Dig No. COS/TO 0 4/q Traffic Services Control No. Stow sketch of proposed work or fumish two copies of separate drawing Indicate North This section to be tamed out byTown of South Windsor 0 1 Pavement Cut No.cuts Est Size of Penn.PaWs) ESt.Pvt.Tt11Cl(IIeSS - in. Est.Unit Price x M? - Total Due$ by C )Cash t )Check# Permanent Patch No. Cuts Size of Pauxs) Final Bing a Amt.Due Payee a Amt.Due Town a By Applicant Is responsible for contacting Date the Ponce 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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN TH TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: �` -cps ` o .s Title: I Driver's License#: PERMIT SHALL RF KFPT nN_tnttct= er At t -Nino