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HomeMy WebLinkAboutDriveway Street Cut Permits 130 Northvie 700058 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/24/07 GIS ID: 64500130 FEE: 25.00 EPIR.ATION DATE: MUNIS-APPLICATION# 200700736 OS/23/08 APPLICANT T ,,., LOCATI ON NAME: AIROLDI S INC. : :F<.<,:':<:>.:::; .:. . . .. .. .. . �,g- AD]�LESS::-j :30.1 RTHVIEW DRIVE ADDRESS : PO BOX 71 >:. :��. L `URA R fRkV EW DRI VESOUTH WINDSOR, TH SO CT 06074 PHON E : WO RK DESCRIPTIO N: DRIVP—'4"A .F6t.. 7'. APPLICANT AGREES TO FURNISH THE TOWN OF:. ( J'f : f?fi7TI'1"tF$OtI)REQUIRED AND TO REIMBURSE :s THE TOWN OF SOUTH WINDSOR FOR AN1;E NS ,IN 7} ? I0�3 N:F' .,.:Ik A IVTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THL°-A- PP., t Iw1T'IS FV&L Wlj' �- :I D.W �YBIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OP:,Si.'Till VyI1 D 'y>µ fiT;PERMT >TVIANUAL. ISSUED BY j DATE T PE I INSPECTED BY 5/24/20071:38PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 10005-8 CONTRACTOR:_ 1 t^© LOCATION:_13 ADDRESS: TYPE OF WORK: (.lam DATE INSP NEEDED: DATE INSP: L z !� INSPECTED BY:_ Rlb WORK IN PROGRESS: a�--c r - INPUT: DATE: APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm Phone No. Address of Firm _� \ � »�w ` ��.so� L77• C) Location of proposed work Describe fully nature of permit requested Starting date 3`' �`� Approx. time for completion Call Before You Dig No. '�c�c�`1 "�'� �"��- Traffic Services Control No. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor Pavement Cut No. cuts Est. Size of Perm. Patch(s) Est. Pvt.Thickness in. Est. Unit Price$ 3� Amt. of Deposit$ Total Due$ by ( ) Cash( ) Check# Permanent Patch 3 y No. Cuts s Size of Patch(s) i i Final Billing j $ 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 PERMII,S RS•QUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: Title: Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES