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HomeMy WebLinkAboutDriveway Street Cut Permits 138 Judy Lan TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4025 Cont.:rat"Cor' M&9""P-A-V..ING AND SEALING, INC Location 0138 JURY LANE J.4Addre5.0 >' 435 >..U�KLAtgv ROAD Type Work DRIVEWAY aS,QVTH`"P}IN3'SO,R'`C-T 06074 5©)`6, a::,.1,915.` Date Insp Needed __------T Da ��k � ���i Time Ins .�r P Needed Y. Ins pected Y ected .,�...B °:. S Work in Progress "S ss Miv.. f : ---------------------- R Permit No. 4025 Town of South Windsor, CT Date 07/01/2005 Street Excavation Permit Expiration Date 07/01/2006 >^ Descrip: Applicant '',;;a '4 1`. r aci:on Name M&S PAVING AND SEAli'IN :'• it3 " "">:a><'<_,. ` . ;'rx•" r G'' "': 1.1 JTJbY li' E Addr. 435 BUCKLAND ROAD .:.; f: > SOUTH WIN DSOR Q ✓i' 6 r. ^. Phone 860 648 1915 Applicant pp cant agreed"''to'• €;u:r44 sk the '�Ocrxt:,sjfx S'0. h Win isidt `t'he amount of bond required and to re3mbutg:,e:i:the:T3�usti'.` ''`:€z; np :<! ':. '. ,..,.: 3.. I2asor is >>.;`a<iy.,exgenses incurred b the Y.: y To�«Fn„�;r,�r`>�p;aaSi�..ena'��ax•;.�:z"�;sre`.a' �:ti�l�'rl�:z>'i. '—Gnnectson with this permit an " bi.... ,a p d that ap :.ent=:: s:!;.f `iitr; x.:# ,;::> :::»: :::: P..: <. <..;:...... �:.,�;.;;.:::::.....�� �..W�.. :.�1?i:d`e by''the rules and regulations for perm its as'<>. ua;le;d;;`C:ne: csan:<'fs'£""S;ixxthindsor's Street CutPermi t Manua l. " '> * * PERMIT TO'.....i#{ ET F,:7.0 5'I.IF>`�fi F1II, TIMES. Issued by ---� `. £-� k'TiC .e .. Date Completed __— Inspected By Hr-rUtrAt1UN FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR Dds PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm_ i S f�i<!� C� �� Phone No Address of Firm 6 �tra �� Location of proposed wort, /3 JiA 6w / 7 Describe fully nature of permit requested Starting date '7- /. b15' Cat!Before You Dig No. 00,5r.)701.�'g / AWox_time for completion • / Traftic Services Control No. Show sketch- Proposed work or mFnm two Copies of separate dry indicate North TMft�°"to 1k�r Out o Town of south yawsor Pavement Cut --- No.cuts 0�( Est Size of Perm.Patch(s) Est.Pvt.Thickness in. Est Unit Price 3 �C AmL of Deposit$ TotW D by ( )Cash( )Check# Pennanent Patch No. Cuts Size of Patch(s) --------------- Flna;Bang 3 AmL Due Payee S AmL Due Town S Applicant is responsible for contacft By the Poke Dt and C.B.Y.D. Date 1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT'OF BOND TOWN �SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MIRED AND R REIMBURSE THE PERMITS ION WIT}{THIS PERMITAND THAT I AM FAMILIAR WITH OR REPAIR WORK IN PERMITS AS,OUTLINEp IN TOWN OF SOUTH WIN ILIAR STREET p ME By T RULES AND Signed: REGULA710NS FOR Date: t�P • -3 z> • Ca rrtie: lam- Driver's License#_ PERMIT SHALL RF KFPT nr►r-InraQr rc nY At r+�arc�