HomeMy WebLinkAboutTelephone Street Cut Permits 22 Haystack TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 3357 Contractor CABLE CONSTRUCTION CO.
Location «" Address 405-D NEW STATE ROAD
Type Work TELEPHONE
MANCHESTER CT 06040
e No. (860)649-8217
Date Insp Needed g 4 o�
Time Insp Needed
Inspected By
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Date
Permi1o. 3357 Town of South Windsor, CT
Date 08/01/2002 Street Excavation Permit
Expiration Date 08/01/2003
Descrip: EXCAVATE TO LOCATE SNET CABLE
Applicant Location
Name CA"BLE`CONSTRUCTION
Addr. 405-D NEW STATE R ACK LANE
MANCHESTER CT 060 TELEPHONE
Phone (860)649-8217
Co
Applicant agrees t,01St irth sor the amount of bond
required and to rei DINUmor uth or any expenses
incurred,ty the Tow TO t n ep n connection with this
permit -and that app i a bide by the rules and
regulations for perm ' t
Cut Permit Manual . outh Windsor's Street
W Mi l
* * PERMIT "°" T{ ALL TIMES.
Issued by J (lNA e �
Date Completed Inspected By �� `Z �''
; s 433 5-
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR .
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR,- CT
FEE $2S.00
Name of Firm��� C�/� /,C L�:T�/V Oo, /NG Phone No. �'l0 0 -6 gy
Address of Firm D o 7-- , _
Locatioon of yZoposed work aG d 00
PL JIANvy �a>✓
Describe fully nature of permit requested xC $
Starting date -O Approx.time for complefion
Call Before You Dig NO. /� Z Z Traffic Services Control No.
FShhovwv sketch of proposed work or furnish
opies of separate drawing To fiiied out by Town of South Windsor
Indicate North
K�C � Pavement�ut
Prop.size of cut
No.cuts
- Amt.of Deposit$ by_
O Cash O Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt. Due-Payee
$
Amt. Due Town$
Applicant is responsible for contacting b
_the P Ace De t.and A.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 THIS
PERMIT AND THAT I AM FAMILIAR 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: ��o
Ti
D.L.#•
PERMIT SHALL BE KEPT ON 30BSITE AT ALLTIMES
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(CA[ BEFORE YOU DIG - CT) 08/01/2002 07:40:30
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***** EMERGENCY *****
TIME. . 07:39 DATE. . 08/01/2002
| REQUEST NO. . . 20023102123
STREET. . . . HAYSTACK LN All
NEAREST
CROSS STREET. - ABBE RD
TYPE 01- WORK. . . . . EXC TO REPAIR TELE CABLE
AREA IS MARKED. . . YES
WORKING IN THE GRASS AREA INFRONT Or-' HSE
EMAIL ADDRESS. . .
CONTRACTOR. . . . . . CABLE CONSTRUCTION
EXCAVATOR DOING WORK- CREW ON SITE/SAIVIE
DATE/TIME A RR I VED.- TIME LEFT: COMPLETED BY:
CALL BACK: 1 ) DATE: TIME. BY- 2) DATE: TIME- BY.
PERSON CONTACTED. PERSON CONTACTED.