HomeMy WebLinkAboutCAble Street Cut Permits Between 76 and Permit No. 2598 Town of South Windsor, CT
Date 02/17/1999 Street Excavation Permit
Expiration Date 02/17/2000
Descrip: INSTALL 8' GROUND ROD ,:FOR CATV `- KENT LANE
Applicant Location
Name COX COMMUNICATIONS BETWEEN, 0&84, 29&35
Addr. 801 PARKER ST.
06040 CT 06040 Type oi=. World CABLE
Phone (860)512-5000
Applicant agrees o furnish the Town- of"South Windsor the amount of bond
required and to reimburse%the Towin o1=:� buth 'Wi ff dsor' ,for any expenses
incurred by the Town,-+Djo taintepande oar�--repai-r `work: in connection with this
permit and that app 1 i cant'>a?s feti 1�i arwi � ,.atd -w.i1�'1 abide by the rules and
regulations for permits as: outj i " t in.-th Toxin of 'South Windsor's Street
Cut Permit Manual .
* * PERMIT TO., BE KEPT ON JOB SITE. AT ALL TIMES.
Issued by Title
Date Completed Inspected By
APPLICATION FOR -STREET
EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm. Ok' �.�✓� _
Address of Firm / qQ, S Phone No.
Location of proposed work P
Describe fully nature of permit requested S i
Starting date
Call Before You Dig Nol 7 7 3 Approx.time for completion
Traffic Services Control No. -
Showsketch of proposed work o fumish
two copies of separate drawing To be filled b Tow of So th Windsor
Indicate North Pavement Cu
Prop,size of cut
No.cuts
Amtr of Deposit$ b
Y
O Cash O Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
Am-L Due:Payee-
-Applicant is responsible for contacting Amt. Due Town$
the PoltCe De t. 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
SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR RE
PAIR WORK IN CONNECT
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES CONNECTION
THE TOWN OF
TOWN OF SOUTH WINDSORIS STREET CUr PERMIT MANUAL. ION WITH THIS
AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
Signed: J
Title Date:
D.L.#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Formskpe fnitslStreet Excavation Permit.doc