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HomeMy WebLinkAboutDriveway Street Cut Permits 18 Heatherwo Permit No. 2995 Town of South Windsor, CT Date 07/20/2000 Street Excavation Permit Expiration Date 07/20/2001 Descrip: a . Applicant Location "Y Name BOUTIN & SONS 1 0018 "FIEATH;J�RWOOD DRIV Addr. 121 WINDSORVILLE ROAD, BROAD BROOK CT 060r16 ":Q1^ lo�t� .,DRIVEWAY Phone (860)623-2526 �' Applicant agrees 9 Qf 96ut -�Wi..ndsor the amount of bond required and to reimbui"se the Tower° # Sc�u:th W *&sar ,for any expenses , incurred by the Town for Mat Mena . © ^ repair o k ;in connection with this permit and that appl caret fa .r w wi,, 1 .,abide by the rules and regulations for perms ts.,M ae°: ai;l i raid n the fi0}ar1' .i7f ,.South Windsor's Street Cut Permit Manual . * * P RMIT T KEPT . , " ALL TIMES.1``J Issued b - 'f tle Date Complete ,� Inspected By APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Const . Co 623-2526 Phone No. Address of Firm 121 Windsorville Road Broad Brook,, Ct 06016 Location of proposed work__18 Heath6r nnri T)ri va Describe fully nature of permit requested Strip cjri VpWAj7 )ravel if neaded paye Starting date �Approx. time for completion Call before you dig no. 20003001123 Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of So Windsor two copies of separate drawing Pavement Cut Indicate North f Prop, size of cut Ce '� No. cuts Amt. of Deposit S by O Cash O Check tf ! Cut size after Perm. Patch No. Cuts Final Billing $ Amt. Due Payee $ Amt. Due Town 4 Applicant is responsible for contacting the Police Dept. and C.S.Y.D. by date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RQ1MBURSE 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. ZLSigned: Date: 7/18/00 Title: Secretary D.L.f! PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES