HomeMy WebLinkAboutGas Street Cut Permits 46 Kennedy Road }
Permit No. 2440 Town of South Windsor, CT
Date 06/03/1998 Street' Excavation Permit
Expiration Date 06/03/1999
Descrip: INSTALL 2 GAS SERVICES-2 BUILDINGS
Applicant Location
Name YANKEE GAS
0�06, KENNEDY ROAD
Add r. P.O. BOX 1030 .`
MERIDEN CT 06450 Type of WQ GAS
Phone (800)989-0900 , F.• � .._.. .. .
Applicant agrees to f�a rnrYt the cwns ; at{tta 1N 'id4or the amount of bond
required and to re i mbwr" � owrrf + thVa rdS ,r or any expenses
incurred by the Town fa,r connection with this
permit and that app 1 i pant lam.l l wiA and �t1 t abi de by the rules and
regulations for permitsa6z"'bU , th-04k",roW� * SeUth Windsor's Street
Cut Permit Manual .
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* * PERMIT TO BE' KEFY C 1 %SITEE AT ; L TIMES.
Issued by TJ t�' Grp
e, .
Date Completed Inspected By
a
APPLICATION FOR
OF OUTH EXCAVATION PERMIT
PUBLIC WORKS DEPARTMENT-
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm a(\K2q_ Lno,S S Qc J iCq-S Phone No. 2q Z- 7
Address of Firm 11Z. pcaste �� \\ -A �0S -\ASS n A r
Location of proposed work c c,c, �d .
Describe fully nature of permit requested _ v
Starting date R C1 I Approx.time for completion N M cn� cI.-N.h
Call before you dig no. 9 $ Z m 1 $9 Co Traffic Services Control No.
Show sketch of proposed work or furnish To be Filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North \\ Prop.size of cut
c[_ ` c�Lt�2C� No.cuts
Amt.of Deposit$ by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing$
Amt.Due Payee$
Amt.Due Town$
Applicant is responsible for contacting
the Police Dept.and C.B.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: � �+.-.,-- T r) Date:
Title: /`"i t a �� O i n e e / D.L.#
PERMIT SHALL BE KEPT ON J08SITE AT ALL TIMES
HIGH PRESSURE GAS SERVI'CE
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