HomeMy WebLinkAboutCAble Street Cut Permits 115 and 127 Hom Permit No. 2596 Town of South Windsor, CT
Date 02/17/1999 Street Excavation Permit
Expiration Date 02/17/2000
Descrip: INSTALL 8' GROUND ROD DRIVE
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Applicant `" :.
x Location
Name COX COMMUNICATIONS h�
Addr. 801 PARKER ST �M1 � &127 AND 158&172,
06040 CT 06040 0`' Typ Wor k CABLE
Phone (860)512-5000 �
Applicant agrees �ftth
tr of �� w rdsor the amount of bond
required and to reimbu roo-tbe `To win'- of mouth �vtlsork for any expenses
incurred by the �'Tep & i n connecti on w i th th i s
permit and that app art wi TT* abide by the rules and
regulations for permti"t South W i ndsor's St reet
Cut Permit Manual . � � "
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� "Y'et „� i�..a'4,A:k*A"•`�M1ryy„����' "v e,99
* * PERMIT T�". -,
' �� xTT ALL TIMES,.
Issued by �" .,�' — eaa it 1 e
Date Completed Inspected By
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 CSC v''t""�-` Phone No, jZ��J
Address of Firm fit 9
Location of proposed work Howes5� e P !!5 !' !?.7 Rid $ a !7 27-0 176
Describe fully nature of permit requested - /ZST ig r D C4
Starting date Approx.time for completion
Cali Before You Dig No.1 Q99 d 65' 1 7-75 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
O Cash{)Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
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 WINDSOWS STREET CUT PERMIT MANUAL.
Signed!* - Date:
Title• D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc