HomeMy WebLinkAboutCAble Street Cut Permits 115 Homestead D TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. . M, Contractor COX COMMUNICATIONS
Location Address 801 PARKER ST.
Type Work CABLE MANCHESTER,CT
06040 CT 06040
461 (860)432-521 1
Date Insp Needed n a oZ
Time Insp Needed O (am
Inspected By
Work in Progress T So
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n Date 0 "
- ' PAM�lt No. 3395 Town of South Windsor, CT
Date 09/19/2002 Street Excavation Permit
Expiration Date 09/19/2003
Descrip: INSTALL CATV LINE
Applicant Location
Name COX COMMUNICATIONS 09 HO TEAD DRIVE
Addr. 801 PARKER ST.
06040 CT 06040 CABLE
Phone (860)432-5211
CIO
Applicant agrees t Tin sor the amount of bond
required and to rei T th or any expenses
incurred by the Tow ten, epa k n connection with this
'Sawrg
permit and that appl ' a _ bide by the rules and
regulations for p uth Windsor's Street
Cut Permit Manual .
rt"if It
* * PERMIT ALL TIMES.
Issued by e ,
Date Completed Inspected By
SPP 17 02 03: 22p Witch Ent. Utility Div 4138210955 p, 3
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APPLICATION FOR STREW EXCAVATION PERMIT _
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
° TOWN HALL
p 1540 SULLIVAN AVENUE
SOUTH WINDSORF CT
WA vEb
Name of Firm 1 ,Dd �O _ � Q
Address of Firm µ--- Phone No. L
Location of proposed work I as
Describe fully nature of permit requested
Starting date SA Q G/e a f'S XO Approx.time for completion_ -� gam{�( Wti eP a ��
Calf Before You Dig No. Traffic Services Control No. -�-
Show sketch of proposed work or furnish
two copies of separate drawing To be fled out b Town of South Windsor
Pavement Cui
Indicate North Prup,size of cut
No.cuts
Amt. of Deposit$ by
Cash()Check#
Cut size artier Penn. Patch
No. Cuts
Final Billing$
Amt.Due Payee$
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 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: kaae 'L Date:4121-
Title: D.L.#
PERMrT SMALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit,doc
Sep 17 02 03: 22p Witch Ent. Utilit�j Div 4138210955 p. 4
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Mass: 688-344.7233
Fx Mass1 917930 DIG SAFE 2002 38W834 CLEARS 9/20 7:00
Mass 1011 17930 9 3 0 L J �+
NUMBER ON AM
Conn:800-922-4455
Fx 203 248.6448
Contractor 0 1167 CITY
DATE
CXI STREET
MIKy IO2 ADDRESS
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AREA MARKED ? YES
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