HomeMy WebLinkAboutGas Street Cut Permits 11 Herman Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3892 Con tr: t �tppE=E=,GAS
Location 0011 HERMAN WAY 'ROSpS ;, HILL RD
Type Work GAS f:s
Acre:ss112 "
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Permit No. 3892 Town of South Windsor, CT
Date 12/02/2004 x.,.....:: , Street Excavation Permit
Expiration Date 12/02/2005
Descri INSTALL GAS SERVI
Applicant
Name YANKEE GAS
Addr. 112 PROSPECT HI RD ':�'Jr ':
.:
E. WINDSOR CT Qr60'i6'`
Phone -
860 292 "�.� ) 2242
•2t i,
Applicant
is ant a re e`
g �?k .�gL�f the To;�ru!c� S�'�Ch WinF's��::"khe"3amaunt of bond
required and to rezm }} s' T s `^
:::: 9 ::#. ? ; sor r.:` "' 3t Onses
red by the Tod >; end `^ ..?Y P.:
incur ��fo .:iq'... <;..� ,;k�. ,.;,; ::>;:;....: ,<
�� � k €a ; c»n.ecti.bn with this
permit and that app icp7zst is 5.fa li�tu
the rules and
regulations for permS,ts as 4au' 7 t�e�li.;; 3>�L r� ? 3� ,p: ;,•Srsv th 4ipdsor's Street
Cut Permit Manual. ' £'
; 4 ,UHF
tf
* * PERM "w
IT '
'PC),Eke,, F,pT'"'...Q.[�.y3�B'>s <�T�
by
Issued �4 C�2✓/�--- ,,:€ :.. . : s" �+ �NG
>:L-VT14
Date Completed _—__----_— Inspected B t ,, ��
' wi�t ruK.51 KtET EXCAVATION PERMIT 3 92
TOWN OF SQUTH WINDSOR ----�—
,. lI t' PUB�.ICWORKS'bEPARTMENT:
Permit No.
T01p1/N HALL
1540 SULLIVAN:"ENUE
SOUTH WINDSOR CT 0 074
ERE: $2500
!Jame of pirm N ,�
A G�q� Kph 2 ddress;of Pirhi t
�� c ,
Location of proposed.work
10
N
Describe fully nature of permrt regt�es#ed
startl,�date
l/
g �� Approx.;fine for completion_ -
Galloforfp Di No,. 0 � � e2 `
Traffic SeN1ce ':(%0
6
#rol No.
5hqiy slcetoh'c�f proposed wcrlc or furnish
tE�sof se mate dra�vi _
t�KQdh This see n to be:-filled ou#b
'i owit
Pavep#Cut-
e
i Est.Size of Porin Pat_Chw
I Est.PvL,Thlcicness.
5 } �r' � � �, Est,Unif
Amt.-Of bepostt f
Total Due$
by.,
S J,1Ff PerRtaneni S #�h
_ Size 9f Pah(s)u
Atilt.Due f' yee
htt 4ue Town
APPl�cania resptirtatbie for contacting
file Poles D� t and GBY 4. Date
1 AGREE;TO FI�RN15 TO THE TOWN OF SOUTH WlNDSOR THE AMOUNT OF`BOiVO RE( UIR-
TOWN OF SO N
UTH W�ND$.OR; OR AIyY EXPENSES INCU,RRQ SY TH TOWN FOR 11rlAINTE ED AND TO;REIMBURSE.THE CONN G7ION�Wkj THIS PER MIT ANb'THAT I AM FAMILIAR 1IVIj 11 'D.yj/jL'L ABIDE 81!THE'F2ULES AN REGU
NAI�i .012:REPA1�2 WORFC;IN.
PERIVIITS`AS OUTLINED IN THE TOWN OF SOUTH.WiNDSOR'S STREET GUT PERMIT MANUAL;` R �TIONS FOR
-Sidned:
Date! -1 -=2:®3
Driver's License#;
-. PPRMIT.SHALL BE KEPT ON JOBSITE AT ALL TIMES