HomeMy WebLinkAboutCAble Street Cut Permits 49 Kent Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No.
3530
Location 0049 KENT LANE Cont,r..a:Ct`or"COX""'C'OM
Type Work CABLE 801
M�TNICATIONS
Address
PARKER"'S.T.
NCHESTE , CT
?604. CT 06�,40
Phone,.No ($5074:32 5�1.1
Date Insp Needed 2
-------- _ Date I>nsr 3
Time Insp Needed
------- "T1m
Inspected By
Work in Progress
-------- - -T 777
Input
Date
Permit No. 3530 Town of South Windsor, CT
Date 06/17/2003 Street Excavation Permit
Expiration Date 06/16/2004
Descrip: INSTALL CATV LINE :
Applicant Location
Name COX COMMUNICATIONS 0�14'9,,DENT LATiE
Addr. 801 PARKER ST.
06040 CT 06040 T pf Tpor SABLE
Phone (860)432-5211
Applicant agrees'. to furnish' the T,7str e5f mouth, Win&& t,he ,aM6unt of bond
required and to reimburs the Powr� qi youth' i4tx ,nr f0r, any 'exp2nses
17
incurred by the Town ftr. fpa3xiite3lance , with this
permit and that applicant 1s fa'itziYlar r�txth will abide by tsi e rules and
regulations for permits a,$ OUCX,ined 1 the 4vrra ,of SquCh 47xn sor's Street
Cut Permit Manual.
* * PERMIT TO B 49PT ON 'T AT,z
Issued by //YL
Title
Date Completed Inspected By
P. 1
APPLICATION FOR STREET EXCAVATIONv
: TOWN PERMIT � S _
OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
1� TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT Ve
Name of Firm
Address of Firm CA1 d phone No. /60 —S 1 Q
Location of proposed work aq, Y. M
Describe fully nature of permit requested
Starting date rox.time for completion Cali Before You D' �No ����Tffic Services Control No, 'ramp ��
Show sketch of proposed work or furnish To be fttled out by Town of South Windsor
two copies of separate drawing
f Indicate North Pa�€+>Zent Cut
{ - Prop.size of cut
/� No.cuts
c �C Amt.of Deposit$ by
Cash()Check #
1 Cut size after Perm. Patch
No. Cuts
j Final Billing$
i Amt. Due Payee$
Amt. Due Town $
Acpficant is responsible for contacting the Police C,B.Y.D. b
andy 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:
Title:
D.L.#:
PERMIT SHALL BE KEPT ON]OSSITE AT ALL TIMES
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