HomeMy WebLinkAboutWater Street Cut Permits 601 John Fitch Per"fti t No. 2314 Town of South Windsor, CT
Date 07/01/1997 Street Excavation Permit
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Expiration Date 07/01 /1998
Descrip:, CUT ON PLEASANT VALLEY RD. , 601 JOHN FITCH BLVD.
Applicant Location
Name CENTRAL TRUCKING COMPANY ,°'601�� �N �f 1TTCH BLVD.
Addr. 520 BURNHAM STREET �
SOUTH WINDSOR CT 06074 yp ; bflorlc 'WATER
Phone (860)289-7791
Applicant agrees t4 imUrhisl� the 'TO1�tn, Qf`°uwth i i+ dsor the amount of bond
required and to reimburse .t � - "owra a +th Wtnd, ; or any expenses
incurred by the Town to-r ma-1 ? +enance p f pair' ,k it connection with this
permit and that app l i cafvt # am,*-, :W" thi and, a 1, 1` tk i de by the rules and
regulations for permit s<: :`lirel ,.,.tooth Windsor' s Street
Cut Permit Manual .
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* * PERMIT S , AtL TIMES.
Issued by i��7"t �U% �' 74.ytlew
/77 Date Completed Inspected By
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Permiti No. 2314 Town of South Windsor, . CT
Date �q 07/01 /1997 Street Excavation Permit
Expiration Date 07/01/ 1998
DescripiJCUT ON PLEASANT VALLEY RD. , 5Q111JOHN FITCH BLVD.
Applicant Location
Name CENTRAL TRUCKING COMPANY 601 , 40HN FITCH BLVD.
Addr. 520 BURNHAM STREET
SOUTH WINDSOR CT 06074 T:yA 4f,..Warf CATER
Phone (860)289-7791
App 1 i cant agrees to 11 i urn i e _ the Town 01 'South i ndsor the amount of bond
required and to reimburse <the Towrt`;'af' $'06th W r)dtpr ; for any expenses
incurred by the Town for mziintenanpe. 4r connection with this
permit and that applicant j s farm liar with ,:and w E l l"`66i de by the rules and
regulations for permits as outl ined in 'tfie TowCi. of „South Windsor ' s Street
Out Permit Manual .
* * PERMIT TC .,,6E .KEPT IT"E: A ALL TIMES .
Issued b _- ✓ �^ r
,�
Date Completed
.__.��.�----- M I n s pe c to d By
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APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC, WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm�)OIKO.L-"LVC
Address of Firm a Q_ ,r Phone No,
Location of proposed work . -P-T
1�sca�
Describe fully nature of permit requested
Starting date 2-1-g 7
Call before you dig no._y ja�®ioUL" Approx.time for completion
Traffic
Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing To be filled out by Town of SO. Windsor
Pavement
Indicate North � _ ��
Prop.size of cut / 3 X
No.cuts
13
Amt.of Deposit by
'
()Cash k)Check#
Pleasuyl �� Cut size after Perm. Patch
No.Cuts
Final Billing$
Amt.Due Payee $
Applicant is responsible for contacting Amt.Due Town$
the Police Dept.and C.S.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:_ 1"
Title: W N t'fL
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES