Loading...
HomeMy WebLinkAboutDriveway Street Cut Permits 295 Hilton D • Permit 'No. 3076 Town of South Windsor, CT Date 04/03/2001 Street Excavation Permit Expiration Date 04/03/2002 Descrip: Applicant Location , Name J . B. PAVING COMPANY ` 09 `- H' LTtJi, DRIVE Addr. 105 EDGEWOOD DRIVE . SOUTH WINOSOR CT 05C 74 �� TYRx © .. Wo'f^k� DRIVEWAY Phone (860)725-6490 Applicant agrees i s fLirt the Tdvn d SOUthWindsor the amount of bond required and to r,e i mb 4 1` e Toy, ' �f y,p"nth Will'sOr for any expenses incurred by the Town ;,for a i enar�ce of etepa1 irk in connection with this permit and that appl icnt ' f°� 1Ar v .antia+r tl 1` wide by the rules and regulations for permit as u i i net Sri ' thef"Tows Hof 5auth Windsor 's Street Cut Permit Manual . * PC�RMIT T&, 13E kEj57 ON .�t3$ SI,TE AT ALL TIMES. �. Issued by T 'tTe _ Date Completed �G �� Inspected By ./�'i3. f IF P 30 F o n sour,ri w i nasor . c f Date 04/03/2001 Street Excavation Permit. ;M :pi ration Date r,._ 2 Gescrip: AppIi can t Locati«n `Name J . B. PAVING COMPANY 0295. HILTGi~f DRIVE Addr . 105 EDGEWOOu DRIVE SOUTH W.INDSOR CT O65074 Type qf Work DRIVEWAY Phone t 55,E i 725-6490 Applicant agrees to fu,rn i sh the Town of Sduth Windsor the amount of bond required and to reiml3urse the Town of :Sou,th Windsor for any expenses incurred by the Town for maintenance 'or, repair work, in connect,i on with this permit anr' that, app i i cant .,s f ami `i i ar with and w l i i abide by the rules and ;ttegu i at;ores for permit`. as oUt. i i ned i"n the Town of South Windsor ` s Street Cut Perna i t. Manua i . * OERMIT TO B,~ KEPT ON 'JOB SITE AT ALL TIMES . � Issued byTitle Date Completed etedY� Inspected By ,1� ..-- APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm ��� �GLV - Phone No. Address of Firm S c © e Location of proposed work N; -f Describe fully nature of permit requested Starting date P:7 s i Approx.time for completion q Call Before You blig No. Traffic Services Control No. Show sketch of proposed work or fumish To be filled out by Town of South Windsor two copies of separate drawing J� Pavement Cut Indi orth Prop.size of cut j No.cuts + Amt.of Deposit$ by O Cash O Check# S Cut size after Perm. Patch n 1 S No. Cuts Final Billing$ Amt. Due Payee$ �j f//3,7 etc Amt. Due Town$ Applicant is responsible for contacting by 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 INCUR ED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH A WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SO H WINDSOR'S STREET CUT RMIT MANUAL. Signed•- Date: G j Title PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc