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HomeMy WebLinkAboutCAble Street Cut Permits 35 Kent Lane y Permit No. 2794 � fi Town of South Windsor, CT Date 08/04/1999 Street Excavation Permit Expiration Date 08/03/2000 Descrip; CABLE SERVICE Applicant Location Name COX COMMUNICATIONS 00§-, KENT ,LANE Addr. 801 PARKER ST. 06040 CT 06040 Ty{ ® ai= Wo'rit CABLE Phone (860)512-5280 Applicant agrees to €urnit� th`� Tpylh ©' the amount of Mond required and to reimbur��se t 'o� fly` �Sauth ' r1dca . fir any expenses incurred by the Town or rntendra� repaik,. i connection with this permit and that appl iat ,f '`' €t an �%all. .abide by the rules and t t t l`i` �1x# + ' Town,' o . auth Windsor's Street regulations for permi tsy.: e Cut Permit Manual . * * PE MIT TQ B EPT CAN )OB 53g AT ALL TIMES. Issued by Ti"tle idrP .� --- Date Comple d Inspected By APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm s `-P Gt a Phone No. Address of Firm Location of proposed work v � Describe fully nature of permit requested fu%C Starting date Approx.time for completion Call Before You Dig No. Traffic Services Control No. 0 Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut 3s No.cuts Amt.of Deposit$ by ()Cash()Check# Cut size after Perm. Patch No. Cuts Final Billing$ Amt. Due Payee 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 WIND$OR.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: - Z, Date: Title• D.L.#: PERMIT SHALL BE KEPT ON 30BSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc