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HomeMy WebLinkAboutGas Street Cut Permits Foster Street Ext TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4158 ,,:>..,:... Con Location FOSTER STREET EXTENSION ;t; a`c`t'or YANKS'E""GAS A* dres. ,'< 112;,''F3:R $'PECT'=KILL RD Type Work GAS Fr.o>:::W:Z ND S'O •::'C� "d:::r.088 Phone "iVo E864),29.2 2''24.2 Date Insp Needed -------------- Da to :;:.. Time Insp Needed ;4 o• Inspected By Work in Progress 'Te-5 � ------------- ------- Permit No. 4158 , Town of South Windsor, CT Date 03/21/2006 Street Excavation Permit Expiration Date 03/21/2007 Descrip: TEST PITS FOR GAS MAIN'"L(} Af16N''MILLE'R' D. D.RAII7<. PROJ. Applicant "' LoFat, on Name YANKEE GASfIt 'ST22ETK3TISOI. Addr. 112 PROSPECT HILL RI7 "' ' "�6'""' ss:.. E. WINDSOR CT 0d'088 'I e esf Work GAS, Phone (860)292-2242 t.. : Applicant agrees; tcx fsir�ish the;2wn aau :h Winsq tkae.•>amaUnt of bond required and to reiinburs ;the, Town of;Soak�h �7�h isor fog" any expenses incurred by the Towa far niainenane kx rp 3tmk �g2 .G(sniiec'�icn with this permit and that appkicattt';as fcmilisr wit.:h :axsc &z :; aha s 'by the rules and regulations for perm'3ts:<as'sowtl'sink:d::;.=.ti;rii >sp3s> d'>' ""'?Sx�at.h.;'Wgri"i'dsgr s S W. treet Cut Permit Manual. r PERMI T 1 � Issued by ----------�n-- — Title ,w_ Date Completed >:......:.I:n.s>•seted B �_ -------------- p y _--y APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF'SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 44c? FEE $25.00 Name of Firm f � (� S' Phone No. � Address of Firm Location of proposed work fo('— C �c t V(- �c F Describe fully nature of permit requested_ /:),, Starting date Approx. time for completion Call Before You Dig No. Traffic Services Control No. Show sketch of proposed work or furnish _This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor Pavement Cut L (� vri C No.cuts Est.Size of Perm. Patch(s) Est. Pvt.Thickness in. Est. Unit Price$ Amt.of Deposit$ Total Due$ by ( )Cash( )Check# Permanent Patch No. Cuts Size of Patch(s) L c )7 %y Final Billing VM z $ 75 / Amt. Due Payee i Amt.Due Town By Applicant is responsible for contacting Date the Police Dept.and C.B.Y.D. 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:Date: S - �.. Title: Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES � r i Tq\' MILLER RD. p33oa --- - 00 p3 26— W ,34 r; ---- - ------ ° 2' COV JF Gam' i N 00 d on this map shall be considered TITLE: Miller Rd. \ Gas and user(which is South Windsor N i or entity who has received purchase,exchange,gift, Ratio scale 1:340 E it in confidence and c o c P Divide second number by 12 to convert ratio to feet.Example 1:1200 is 1"=100' w close it to any third party without Information shown is not guaranteed and Yankee Gas assumes no responsibility. ssion of Yankee Gas. I Contractors are urnpd 10 call YankPP Gas-for further informqtin g s The Northeost Utilities /�Y J 0 N CO o 'I ONo W dH iS U9 d on this map shall be considered TITLE: Foster St.Ext. Gas and user(which is South Windsor 1 or entity who has received purchase,exchange,gift. Ratio scale 1:340 3p it in confidence and Divide second number by 12 to convert ratio to feet.Example 1:1200 is 1"=100' :close it to any third party without Information shown is not guaranteed and Yankee Gas assumes no responsibility. 'ssion of Yankee Gas. p Y m The Norlheosl Ulililie: Qontractors are uragd to call Yankee Qas for further at 1-800-989-0900 �t tr , •` i � t OAP - --- ----------- -- ----------—----—---- 0.Ut COV -------------- Surd S�NOV W c- -r ; i SW r; i° ;ed on this map shall be considered TITLE: Miller Rd. e Gas and user(which is South Windsor " m or entity who has received e,purchase,exchange,gift, Ratio scale 1:267 e eep it in confidence and Divide second number by 12 to convert ratio to feet.Example 1:1200 is 1"=100' w isclose R to any third party without ft" Information shown is not guaranteed and Yankee Gas assumes no responsibility. nission of Yankee Gas. p dY• s The Norlheosl UlifillE \� 1 Contractnrs are urued in call Yankee Gas for further Information at 1-800-989-0900 a� :X 1� fll - � t li ------------ ii 09 9L9zd C-v\j )-4 av�� d on this map shall be considered TITLE: Miller Rd. s Gas and user(which is South Windsor +or entity who has received purchase,exchange,gin, Ratio scale 1:285 ep it in confidence and Divide second number by 12 to convert ratio to feet.Example 1:1200 is 1"=100' close to any third party without Information shown ssion of Yankee Gas. is not guaranteed and Yankee Gas assumes no responsibility. N The Norlheosl UliGlies ontractors_arp uWed to call Yankee Gas for further information at 1-800-989-0900