HomeMy WebLinkAboutWater Street Cut Permits 160 Newberry Ro TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2695 Contractor JAMES THROWS
Locatipn .0160 NEWBERRY ROAD Address VANS SEWER & SEPTIC
Type Work WATER 97 RIVERSIDE DRIVE
f VERNON CT 06066
( 860 )289-0095
Date Inspleeded
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Inspected By
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Work in Progress
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Permit-No. 2695 Town of South Windsor, CT
Dato 05/21/1999 Street Excavation Permit
Expiration Date 05/20/2000
Descrip: WATER SERVICE
Applicant Location
C.
Name JAMES THROWE 060'. N. WBRRY ROAD
Addr. VANS SEWER & SEPTIC
VERNON CT 06066 . WATER
Phone (860)289-0095
Applicant agrees to furnish the 3'owrrt k` f Sough Vwi;rdsor the amount of bond
required and to reimburse the Town` of Southrmmfor any expenses
incurred by the Town for r,epat" k A'A connection with this
permit and that appl i.catnt 4,'9 :farm Tier w� .tb and *1 � 1 abide by the rules and
regulations for permits as ;out T 0,�.I i n ?they Tovin;:of South Windsor's Street
Cut Permit Manual .
* PERMIT T BE KEPT ON JQB SITE' AT ;AII:L TIMES.
Issued by Title CTZ-�)'l
Date Compl to 7 inspected By
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APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm a �— Phone No. d Z P7 0
Address of Firm �r
Location of proposed work
Describe fully nature'of permit requested D
Starting date 313 MW P 7 7 Approx.time for completion
Call Before You Dig No. G Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
d v b b Pavement Cut
Indicate North Prop.size of cut
No.cuts L
Amt.of Deposit$ 3 a0.u`i by4-96
Cash O Check#
bQ �- Cut size after Perm. Patch
G�rL
No. Cuts
Final Billing$
Amt. $
f t Amt. Due 16vin$
Applicant is responsible for cont4cdng by date
the Police DeDt.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•/ /np-\/ g
Title:_ �L.>h-f�� . D.L.
*._j 7s,00
PERMIT SHALL BE KEPT ON 3OBSITE AT ALL TIMES /0 1
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Standard Forms\Permits\Street Excavation Permit.doc