HomeMy WebLinkAboutGuide rail completed Street Cut Permits TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 41G ,; t. ,. Co,LyCYaGorP„GROTJPf..ATLAS COMPANIES
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Location KING IN ST AddYe S :N. R HFrl;ST INDUSTRIAL
Type Work MISCELLAN 7'RAi7. QRD",.i'(•3: ,fl6'#;O5
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' Permit No. 4165 Town of South Windsor, CT
Date 03/27/2006 Street Excavation Permit
Expiration Date 03/27/2007
Descrip: INSTALLING GUIDE RAT'LS::.-F
Applicant Locab.ion
Name PGP GROUP/ATLAS COMPFiNIS-%: ING IN;,ST
Addr. 30 NORTHEAST INL�kuT;RI3�
BRANFORD, CT 06405 fide off, fork xSCALLAN `:•
Phone (800)462-8527 ::
Applicant agrees to ftt �YislT .the To f SGLt h WinG a*OV Chi-amount of bond
required and to reimburse.th4 'rbwnx a SoaSth kVands;or fox any xgenses
incurred by the To; for `YriaYhte n n ;pr, Saax wa':rk itz:tannaoti with this
permit and that applicant:; is; £atllili w1'11 abide by""ttie rules and
regulations for perixzits as taut,i< ne <a. tke,:: awx�, o. South W-gnd$or's Street
Cut Permit Manual.
* * PERMIT "f0 BE KEPTO
N JC}$ IIE AT.>ALL TI'MEu�.
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Issued by ___
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Date Completed p
ins ec::':ted: By
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APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1540 SULLIVAN AVENUE __II
SOUTH WINDSOR,CT 06074 Co,
PEE $25.00
Name of Eiim �
Address of Firrn
Phone No,
Location of proposed work 1*11 _
Describe fully nature of permit requested.—
Starting date (__
Call Before You Dig No,pia 11 —Approx.time for completion' 9
`'— Traffic Services Control No.
Show sketch of prow work br tarnish
two copies of separate drawing 11nd000NodhGIs;lion to hp Iled out by
I .of South' ndsor
• aYil11F:1it CiLrto.Cudat:Size of Perm.Pateh(s)
t.Pvt.Thickness In_J �
t.Unit pricemt.orIlVosittal true$ .,_ by
�. .
r Permanent Patch
i Y No. Outs
Q��Ne1.or 7TYP'-:L Size of Patch(s)
�6 Q�or
Final Bivirt?
S
Amt.we Payee
Amt.Due"'own
$Y
A !cant is re III far Corttaotin
_ e Pgiice and C.B„Y D.
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY EXpENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAI€?Wr_,RK IN
CONNECTION WITH THIS PERMIT AND THAT i AM FAMILIAR WITH AND WILL,ASIDE BYTHE RULES AND REGULATIONS FOR
F'F_RMfr$AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL,
Driver's License �'�� .��
PERMIT$HAUL BE KEPT ON,JQBSITE AT ALL TJMI S