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HomeMy WebLinkAboutWater Street Cut Permits Northview at Pl Permit No. 2230 / Date 08/09/1996 Town of South Windsor, CT Expiration Date 08/09/1997 Street Excavation Permit Descrip : PERM. PATCH FOR M. D. C. WATER: CONU. Applicant Location Name MARTIN LAVIERO CONTRACTORS N Addr, 6 ANDREWS STREET ORT'MVIEW".A PLEASANT VALLEY' B860)58 CT 06010 Phone (860)589-7579 Ty"pe ©f..,..WO, i k WATER Applicant agrees to furs : the ;Town o "Scauth":W i r�dsar the required and to r e i mbur� e the 'owri amount of bond incurred by the Town for" maaj,n"tenano--ar �aW�O in°rc any onnectponsw Permit and that applicarit fam� r ;watnd "i� � with this regu 1 at i ons for perm? t as C+ut~1 1 ned i n" the Town '�r�f ",S,oWth-abideWbndsor srules and Cut Permit Manual , Street * PERMIT TOON,:J Cg SITE AT" ALL TIMES. Issued by � Date_C,oma-e�gd Inspected By ----' `J TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 2230 Location NORTHVIEW AT PLEASANT VALLEY Address Type Work WATER tor MARTIN SVSTREOETONTRACTORS BRISTOL CT 06010 Phone 'N0. (660)589-7579 Date I nsp Needed W IL.C .Ios Time InSp Needed . ' Inspected By _ Work in Progress Inpu`t _ `,c�c_ Z Date yw. } APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR Amt. Bond Required PUBLIC WORKS DEPARTMENT — Amt. on File ✓�`-- TOWN HALL Permit • i,,, 2230 Date of Expiration 1540 SULLIVAN AVENUE Date Ins. on File ( Yes ( ) No SOUTH WINDSOR, CT Permit Expires - -- Expiration Date FEE $25.00 r9 Name of Firm MAPTIAz G af<1 yo t 0 69A/ f'o,_ 00 G Address of Firm t Phone No. !� Location of proposed work V fits �_�} f/P 2 f Describe fully nature of permit requested j ST/ r T CcTj' Starting date Approx. time for completion Cali before you dig No. T�2 3aa o Traffic Services Control No. Show sketch of proposed work or furnish To be h"ped out by Town of South Windsor two copies of separate drawing Pavement Cut O Indicate North Prop. size of cut 7Q C eV 1.47./t 1CV1k_,T 9-0 /1'/- No. cuts 1 OF �� T ' Amt. of Deposit $_. by ( ) Cash ( ) Check # Cut size after Perm Patch - No. Cuts _ i Final Billing $ Amt. Due Payee $ — Amt. Due Town $ _ Applicant is responsible for contacting the Police Dept. and C.B.Y.D. by date I agree to funish 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 rul and regulations for permits as outlined in the Town of South Windsor's Street Cut Permit Manual. f Signed: Title:,`Si/ iM/T .c e C D.L.L.# a!9 (j Cy Date: PERMIT' BE ON AT ALL TIMES 9 APPROVED: I DATE: T NGINEER FOR INSPECT4 Date work started Date Completed Signe ��ur WHITE PERMIT PINK - ST. SERVICES YELLOW ENGINEERING GOLDENROD - FINANCE