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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3311 Contractor AIROLDI ' S INC.
Location Address 41 ZINFANDEL CIRCLE
Type Work IRROMMOW TOLLAND CT 06084
No. (860 )896-0401
Date Insp Needed s 77
Time Insp Needed
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Inspected By
Work in Progress
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Permit No. 3311 Town of South Windsor, CT
Date 06/03/2002 Street Excavation Permit
Expiration Date 06/03/2003
Descrip:
Applicant N, Location
Name AIROLDI 'S INC. ' M EAD DRIVE
Addr. 41 ZINFANDEL CIRCLE,/,;I
TOLLAND CT 06084 DRIVEWAY
Phone (860)896-0401 r
Tc
Applicant agrees it h i7id or the amount of bond
required and to reim u o th r any expenses
incurred by the Town e a pai I�i connection with this
permit and that appl i an ide by the rules and
4W40A
regulations for permiy 1 f th Windsor's Street
Cut Permit Manual .
* * PERMIT T � K LL TIMES.
Issued by (4-vim `
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 $25.00
Name of Firm A rU S Phone No. a89-38? 0
Address of Firm V• O -i _ . f'
Location of proposed work 1 r)`l 1 �r�rn�e ��� 1\T- , .(�,r,rQ Co,
Describe fully nature of permit requested 1ri
Starting date 5-34L- 0d fl4]L,,c Approx.time for completion r�a
Call Before You Dig No. ab02aa 9 S r:�, Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Roo 5e" Pavement Cut
Indicate North Prop. size of cut
No.cuts
r� ii 7
J Amt. of Deposit$ by
O Cash O Check#
Cut size after Perm. Patch
1
V 3 d 9 No. Cuts
!a Final Billing $
Amt. Due Payee$
- la -
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: f�� // GG�l �A Date:
Title Qi:s?r C�0� D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc