HomeMy WebLinkAboutDrill Test Boring Street Cut Permits Nev 700002 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 02/09/07
GIS ID: 62409999 FEE:
MUNIS APPLICATION# 20070004
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9DATE:EXPIRATION DA 02/09/08
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'LOCATION
AP PLIC AN
NAME: NEW ENGLAND BORING CGT RTC}' '`<' GOAD
.,: :.. . ..: RES VERS
ADDRESS: 129 KREIGER LANE#1<; . " ۥ:,
,,,A RR .` � F`:SO UTH WINDSOR
GLASTONBURY,
$> 544 S�JI I VAN AVE
" I W=
I I INDSOR CT 06074
PHONE
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WORK DES
CRIPTION:
TI ON: DRIL: .EST'
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APPLICANT AGREES TO FURNISH THES(U T `' P. IO-RW'OP'BO D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANK„E ?81°8' ,.. f" s I ` p N > :MAINTENANCE OR REPAIR WORK IN
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CONNECTION WITH THIS PERMIT AND THL°t1P.1 'ICX IS;F T VI 't�N 1:w*, ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O 01J 'I.: >INt7SR>' ET." I=P RM 1 MANUAL.
ISSUED BY DA` -INSPBC ED SPECTED BY
2/9/20078:49AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
701 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 02/09/07
GIS ID: 62409999 «:
FEE: .00
MUNIS APPLICATION# 200700049 "'*,
EIRATION DATE: 02/09/08
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APP
LI CA T A
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CATION TI N
NAME: NEW ENGLAND BORITG'c-ONTRA "I 0 <"< A1STSS '.' :.fiiV2SROAD
ADDRESS: 129 KRE s '<IGER LANE ':
.SOUTH WINDSOR
GLASTONBURY
SLIVANAVE
t.
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PHONE .:
YY:IJ. INDS O CT 0
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R, 6074
D RI L`
`. '/WORKDESCRIPTION: . .;
FRO BT x. z�T
APPLICANT AGREES TO FURNISH THE TOWN OF.S. F .: ' : _ T OF ONp REQUIRED AND TO REIMBURSE
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THE TOWN OF SOUTH WINDSOR FOR ANC EI IN .70 F41 .MATNTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THt:;4PL CRN`I tFt 1 ITIff"AND.- AIDE BY THE RULES AND REGULATIONS
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FOR PERMITS AS OUTLINED IN THE TOWN OI.$ YJH'. I2 PgT> ANUAL.
ISSUED BY DA`>::E,„ T. EC>TE INSPECTED BY
2/9/20078:49AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:_VJ � rz►,,z
LOCATION: 0EUr.s ADDRESS:
TYPE OF WORK: nWAl i&s gxjN&S
DATE INSP NEEDED: -7 a-7 DATE INSP: z
INSPECTED BY: �
WORK IN
PROGRESS: ,,��-S
INPUT: C/U�"� DATE: - c D
WJu06/006
APPLICATION FOR STREET EXCAVATION PERMIT
! __2
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL AtpUcnzi�
1640 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm
Address of Firm I Z Phone No.
Location of proposed work vev P R�
,Describe fully nature of permit requested
Starting date Zpp
Call Before You Dig No.Z_ oo - d Sp-O y 3o time for comp'letion- _ / D 0.�,
T+��Services Contrl No. --
Show sketch of Proposed work or banish
tw6.00pies of separate drawkv
Indicate North is section tole filled our hw
Taw t of
Pavement Cut
W.cuts
�1 Est.-Size of Perris.PatctKs)
See &A4A e 44. Pia
Est PvL Thickness i,,:
Est.Unit Price$
$
TPU Due S by
( )Cash( )Check
Permanent Patch
NO. Guts
-Size of Paws)
Final Biding
- Amt.Due Payee - .
Amt Due Town
mnt is reqponme for By
the Police t.and C,B.YA,
i AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT 01=�BOND REQUIRED AND TOWN OF SOUTH WINDSOR FOR ANY EXPENSES IN SORT 8Y THE TOWN FOR MAINTENANCETO REIMBURSE THE
CONNECTION WITH THIS PERMIT AND T I AM FAMILIAR WITH AND WILL ABIDE BY THE U ANp REP R t E LATi SRF IN
OR
PERMITS AS O N TOW * O WINDSOR'S_STREET
` CUT PERMIT MANUAL. .
Signed•
Date: U O 7
Title:
Vice President Driver's License#:
PERMIT SHALL BE KEPT ON JOBStTE AT ALL TIMES.
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