HomeMy WebLinkAboutWater Street Cut Permits 24 Gulley Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3537
Location ti Vffi CcntraCt'br .0.NNECTICUT WATER COMPANY
Address:;
Type Work WATER < 25 NORTH ROAD
EAST WIND,SOR C1:; 06088
Phone N'C,,{8�i4�,292`55.,52 ,,
Date Insp Needed
Time Insp Needed Time. Tkzp
Inspected B .._
Work in Progress --�ryy�C"�jr� ���� c✓W
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Date
Permit No. 3537 Town of South Windsor, CT
Date 06/26/2003 Street Excavation Permit
Expiration Date 06/25/2004
Descrip: EXCAVATE TO REPAIA LEANING WATER SERVICE
Applicant Lo:cati«u
Name CONNECTICUT WATER COM AN tl02�,�tJLLE� DRiVE7;
Addr. 25 NORTH ROAD
EAST WINDSOR CTCTorZC' WATER
Phone (860)292-5552
Applicant agrees to fern:i` the ToWzx of au h. Windeor"the .ampunt of bond
required and to reimburse the Town 5ou,1th S?73z dfi r. for any .... es
incurred by the Town '=Ebr maintenance ox, repa works zn cpnnecton with this
permit and that applicant ' .S a;M1 f arz alx 1 will: abide by the rules and
regulations for permits as outlined ln:. :the Tarn ;of South, W�1id'sor's Street
Cut Permit Manual.
* * PERMIT TO BE XEPT';; ON Jt5 3 SITE Al AT'L TIMES.
Issued b
y ----
Date Completed ___---_-- Inspected By
26 2003 9: 28AM CONNECTICUT WATER CO NO 157 P 2
APPLICATION FOR STkEET EXCAVATION PERMIT
-_ TOWN OF SOUTH WINDSOR
PUBLIC WORKS.DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH 1WINDSOR, CT
FEE $25.00
Name of Firm_ 1T
Address of Finn s - _phone No. 86
location of proposed W DtS'
i2 fully rWtUCE of PermitG' O Ica
Starting da
Call Before You Dig No. 003��,ap�,/ Approx.time for compLft
Traffic Sevioes Contrd No.
S ��r sketch of pnopo.%d work or furmmn
the copies of separate drawing Tom filled aut 6v Tdwn of Sb UVi sor
i
Indicate North 24ql 41/4ZV
Deb. Prop.size of cut
P
f No.cj&
1
lErAoell)6 Arnt of wit$
w4fax by
()Cash()Check#
•e Cat size after perm. patch
�Ul i No. Cuts
i
q Final Billing$
Amt,Due payee
/IV ExGCt ll9 1W
Amt.Due Town$
AppPicant is responsime for conWft
the Police and C.B.Y.D. by date
I AGREE TU FURNISH TO THE TOWN OP SOUTH WINDSM THE AMOUNT OF BOIVO SOL"WINDSOR FOR ANY WENSES INCURRED BY THE TOWN REQUIRED AND TO REIMBURSE THE TowN OF i rr-AND THAT'I AM FAMILIAR FOR MAINTENAf�OR REPAIR WORK IN CONNECTIbN WITH THIS
^v1'{1N OF SOUTy WIj� WIM AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS pU17JNED IN THE
DSOR'S STREET CUT PERMIT MANUAL.
Signed:Tsue• ��Q/A/_1__
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
0rns1Permit9l1,teet Excavation Pemn tdoc
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