HomeMy WebLinkAboutDriveway Street Cut Permits 166 Krawski TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3996
Location Cont,.r...acts `" 'bTTg ,„&
a166 KRAWSKI DRIVE SONS
Type Work DRIVEWAY �Adc�reg 1219I4AS0RUILLE ROAD
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Permit No. 3996 Town of South Windsor, CT
Date 05/27/2005 Street Excavation Permit
Expiration Date 05/27/2006
Descrip:
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Applicant ;';
Name BOUTIN & SONSD1ZI7E
Addr. 121 WINDSORVILI;E RbAD K •.' s
BROAD BROOK CTf 060.1
Phone (860)623-2526 ;
y c s s
Applicant agres, fup.1 th �ay � th Wct tki-m::aount of bond
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required and to reimbrs the'Town afN ut � ndsor`<fo apgr'e?cpenses
incurred by the Tc wx o max gto x� � r,.vtork h'nr�onmect on with this
permit and that ap�l.iri ,: am�a� 3 � 1. aeby 'te rules and
regulations for er ' , a. ' "
P ?�b�I<��b� ?rz�t' � n..>`et1-5.6u�A IkIndsor's Street
Cut Permit Manual.
* * PERMIT TO 4E KEPT 01' ALL w Il ,S
Issued by
` s.
Date Completed g � "ed By
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TOWN OF SOUTH WINDSOR
PUBLIC, WORKS DEPARTMENT
1540 SULLIVAN AVENUE
SOUTH I DSOR, CT
5.00
Name of Firm Boutin & Sons Const. Co. 623-2526
Address of Firm 121 Windsorville Road Broa rook�nConn
Location of proposed work 1 h h TC r a e t i nr i y
Describe fully nature of per requested S t r i p P x i s t l ll d r i
S vewav, Allt In TJrOCeSS ;?ravel,
Starting date
Call before you dig no._ 2 n 0 991011 77 Approx.time for completion
Traffic Services Control No.
FShoosketch of proposed work or furnish TO be filled Out by Town Of SO Windsor
pies of separate drawing
Pavem ent Cutjo
icate North
Prop.size of cut
No. cuts
Amt.of Deposit$ by
()Cash()Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee $
$
Applicant is responsible for contacting Amt. Due Town
the Police Dept.and C.S.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 WJNDSOR 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: 5/2 5/05 .
Date:
Title: Secretary
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
M M
Job Location:
T -flescription: CP
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30
Quote Good for I Days. ' • ' • ' '
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
1 Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pr'
CBUD C2 U SC21 �� Date