HomeMy WebLinkAboutGas Street Cut Permits 328 Hilton Drive Town of South Windsor , CT
Permit No. 2361 Street Excavation Permit
Date 09/30/1997
Expiration Date 09/30/ 1996
Descrip: -
Location
Applicant
Name YANKEE GAS NILT�N .DRIVE
Addr.. P.O. BOX 1030 Dt." yob GAS
MERIDEN CT 06450 -
Phone (800 )989-0900
Applicant agrees tO furhi,gh the Town Sou"tfi� "windsora�heea ensesof bond
required and to reimburse th+ jowti of South W1 ndsor ° Y with
incurred by the Town far m�7htenaardwithp"and °11bidenbyGthenrules and
a
permit and that applicant t"s 'am
regu1ati�ons for permits "ds " 6,01 ine- ,i.n the TowA 0f South Windsor' s Street
Cut Permit Manual .
* * PERMIT TO 6E KE '1` 68 ,SITE AT ALL TIMES.
Title
Issued by
Date Completed
Inspected By -------
r
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Phone No.
Address of Firm/ oS"v ei /fic'r_ Sopt
Location of proposed work 1-1/4- 'TO n/ 02
Describe fully nature of permit requested X c'_'PP y.'3t TG p�
/ % O f- ZZ2 e- /f-
Starting date Poo / _ Approx.time for completion
Call before you dig no. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
O Cash(1 Check#
Cut size after Perm. Patch
� OF X u+9�TIv�
No.Cuts
I - -__— - i Final Billing $
Amt. Due Payee $
/aEf e-7-®iv �.+2
Amt.Due Town $
Applicant is responsible for contacting
the Police Dept.and C.B.Y.D. by 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: / e�
Title: wl "cl-v D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES