HomeMy WebLinkAboutCAble Street Cut Permits 75 Greenwood Dr jW
Permit No. 2904
Date 01 /18/2000 Town of South Windsor , CT
Street Excavation Permit
Expiration Date 01/17/20G1
Descrip:
Applicant
Location
Name COX COMMUNICATIONS
Addr. 801 PARKER ST. E � DRIVE
06040 CT 06040 `
Phone ( S60)512-528p �y.�"of W�t k CABLE
Applicant agrees 1♦0 .a the T o of t Windsor the amount of bond
required and to reimt�urst� Gta :Ta 'wth 4VTRdsor 'for any expenses
incurred by the Town for + itenar ot�;' ar .i connection with this
permit and that appl7cunt 39 f t3 r WTtb ano .;w117 ` ,abide by the rules and
regulations for permi tag as:: iPw 1 i ned i n tyre ..T0146..'bf South Windsor' s Street
Cut permit Manual ,
* * f�ER I';IT TO ,BE K P7 ON','JO#' SITE AT :ALL TIMES.
Issued by )r--------------------;7
T i.t;l e -
-----
Date Completed
�t� -------- Inspected By ---- ------------
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH IWINDSOR, CT
FEE $25.00
Name of Firm Cgs !'Vl
Address of Firm Phone No.
Location of proposed work
Describe fully nature of permit requested
Starting date r
Call Before You Dig No. APProx.time for completion h
Traffic Services Control No.
��030 .9 Show sketch of propo tni9rtc or furnish TO
fill ut b T W
two copies of separate-idrawing -- ��! . Y__o_,n Of South Windsor
Pavement ��
Indicate North
Prop.size of cut
No.cuts
Amt.of Deposit$ . b
Y
{)Cash{)Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt. Due Payee-
Amt. Due Town$
- .Applicant is responsible for contacting b
the Police De t.and G.B.Y.D. y 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 THI
PERMIT AND THAT I AM TAMILIAR 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; l /y .03
Title: Lp�,
D.L.#:
PERMIT SHALL BE KEPT ON 306SITE AT ALL TIMES
Standard FormsTermitAStreet Excavation Permit.doc