HomeMy WebLinkAboutSanitary Main Street Cut Permits 12 Kell "z/G-V G
lw
a = I
v ,
TOWN OF SOUTH WINDSOR INSPECTION REPORT
` Permit No. 3477 Contiac.tpr BARBER ;UTTL,ITIES L.L.C.
Location 12 KELLY RD Address F,O BOX".3.31
Type Work SAN MAIN }1 1INCzTON CT 060'2,9
Phone No (8.65�872'-2330
Date Insp Needed .............
Time Insp Needed ___ dime Steep
Inspected By
Work in Progress
e'. �L �'. P«�i�'C" `moo ` s , *.Q ram, z j-�" ,we 0"
----- `
Prs ��i / C`c'GvznPut bate
------------
cic�o►�
t 4 X t o' for So v. sewer
L"e w+Pate •• 1' L��-1-s Process 6v,
Permit No. 3477 Town of South Windsor, CT
Date 05/05/2003 Street Excavation Permit
Expiration Date 05/04/2004
Descrip: HOLCOMBE SUBDIV. ;:SAN .:;& -wati LOT5 1&2 #12 &1F" K ST CUT& S. PMT
Applicant Locati5,n
Name BARBER UTILITIES L .y C 12 KELLY RD
Addr. P.O.BOX 331
ELLINGTON CT 0€029: Pipe �f Work SALT MP<IN
Phone (860) 872-2330
Applicant agrees to-:.furnis'1 tUe .Town l 5cauth Wind's or the amount of bond
required and to reimburse the;Town a£. nses
incurred by the Town for Ma.intei ance or r,0 air 'work 'in co'nnectI n with this
permit and that applscant .is ;fam� zar whnr1 will ak>ar3e by C'he rules and
regulations for permits as':ou'talneel lri tie Town of Sou sor's Street
Cut Permit Manual.
* * PERMIT TO BE KEPI 0,�7 JOB` SITE AT ALL 'TIMES.
� �..
Issued by _ lam ---- ------ ,.;Title:- f= 'l ----
p
Date Completed _________________ Inspected By
APPLIGAT. QN FQR`STF, T f AVATIQN PERMIT
T'OWH QFt OUTH WX PS- OR
PUBLIC "WQR QEPARTMNT
5 TQWNA
1 4 SULIVA
K
tau;Y wcr '
w.
Name of Firmo-
Address:of - -Phone No 8
Location of propo0d work 1Z 'VL i t® kfL
02
D�befully nature"df'Perot
StaOing dated _S_ O _ APproX time or CO rtPietaon o�
call Before You 0911ML�4ya'+ITrafficrvlces„Control.Ko,
�hovuaketch ofrgosed work or:fufiish_ �`o T.tltw h dsor"
tyvot 014s of. p to draw hg
_ P
Indicate North c• io z p, 8 x• ,` Y
- p /
47,
`l, •�y'�'
4 r
_ Sft s Eck#
8 Cut Sipe after berm Patch
Jlr
14
J,
FinaI.BiOing. � �/ 9A .
`Am`t,-0 8;aaY
f.
R1 - -
i Appjicarlii is responsibi f' bhtn atting date
b j
C:B.Y.D::;
Y-�
I AGRGE TQ FURN15Fi TO THE TOWN OF 5(j�1Tki 111IIND$OR THE AMOUNT OF BQND REQIJIRfp AND.TQ.RM41RF„*H TOWN QF
SOUTH WINbSOR FOR ANY' CRCNS>_5 ING4JRRD Bl'Tlit=SOWN FQR M NTEryANCE Oil REP1iR WORk IN c6I 0
NCTiQN WI'Tt THIS
PLRMTT AND THAT I AM frAMIL1AR W7H AIVp WILL ABIDE;BY`TH RUEg ONS: 1�S qS OUTLYNED III Tii F
TOWMOF SQtJTH,WINQ$OR'$STREET Cift PjRMIT MANUA-L,
Signed;
• s,
Date. 0 3
-
Tltle#
PERMIT SHALL BE KEPT ON]OBStTE AT ALL TIMES
Y :
5taridard Forms\Permits\Street Excavation Pemtit.doc