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HomeMy WebLinkAboutDriveway Street Cut Permits 7 Highview R TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4095 Contx-,wdtor ;AIROLDT"r"5:.:;�1NC. Location 0007 HIGH VIEW ROAD e d ,.es; <::i ``P O s9.OX;€:;;7'1 Type Work DRIVEWAY SC3U;TH WTND ':OR Cita:,06074 Phone No 18289 3876 q. Date Insp Needed _— at ITY �s Time Insp Needed [1[[E 'Iny ------ *— Inspected By Work in Progress In uC �� >Date Permit No. 4095 Town of South Windsor, CT Date 09/30/2005 Street Excavation Permit Expiration Date 09/30/2006 Descrip: Applicant T06 at .o Name AIROLDI'S INC. >' Obti7 I;IGHVIEW,R©AD', Addr. P O BOX 71 SOUTH WINDSOR Cf 66A74 Styx O€ SntOY14 I3 IV I^7j Y Phone (860)289-3876 Applicant agrees to furnasb; the Windsor th'e amovint of bond required and to reimburse Otte , ow5� rcjuCh �taxcir for ,any expenses incurred by the Town'i,fsaY".m'a' : 'e3.ance or repair 'wti"rl ;sxz�> 'r�.in :c;t,ion with this permit and that applicant is f. m�li,ar xt wx11 abed by the rules and regulations for '> 9 permit°s as:* oix.C1" necl's�zs$;:t ;Tr..;v�.s:•bf SoutI� W�;:ri,cl r's Street Cut Permit Manual. * * PERMIT TO B$ K PT ON Jfl8 SxTE }1T:.ALA, TIMp. Issued by -- -- �i I.t l e'.. Date Completed .............. Inspected By APPLICATION FOR STREET EXCAVATION PERMIT A C)62� TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Fir�`�' Phone No.sD�?�--1 Address of Firm L Location of proposed work CIA- Describe fully nature of permit requested Starting date l i Approx. time for completion_ Call Before You Dig No.` s' - f_��4C)Q S Traffic Services Control No. Show sketch of proposed work or fumish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor Pavement Cut No.cuts Est. Size of Perm. Patch(s) Est. Pvt.Thickness in. Est. Unit Price$ / Amt. of Deposit$ 0 Total Due$_ by ( )Cash( )Check# Permanent Patch 1�l No. Cuts Size of Patch(s) -'��— Final Billing Amt. Due Payee Amt. Due Town By Applicant is responsible for contacting Date the Police Dept.and C.B.Y.D. 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 CONNECT N WITH THIS PE IT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PE OUTLIN N T E N OF SOUTH WINDSOR'S STREET CUT RMIT MANUAL. Signed: Date: Cp Title: Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES