HomeMy WebLinkAboutCAble Street Cut Permits Between 209 and -N
Permit No. 2589 Town of South Windsor, CT
Date 02/17/1999 Street Excavation Permit
Expiration Date 02/17/2000
Descrip: INSTALL 8' GROUND ROD FOR' -CATV - .NORTON LANE
Applicant Location
Name COX COMMUNICATIONS BETW'., 20'9&201 , 193&201 , 161&5
Addr. 801 PARKER ST.
06040 CT 06040 Types of Wor`k CABLE
Phone (860)512-5000
Applicant agrees to furnish the T6w-h, of South Windsor the amount of bond
required and to reimburse the Tows"ofsSouth . l�tridsorfor any expenses
incurred by the Town .,for", ma nAl rfa-nce: ar'-repa works i n connection with this
permit and that appl i canir*pis f1144
th aid :w l 1 ' abide by the rules and
regulations for permit as., ou l in c4 .J0, the'- 'To wn :�f,�South Windsor's Street
Cut Permit Manual .
* * PERMIT TO "KEPT ON,, j06, SITE XT ALL TIMES.
Issued by Title
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm CI)v h-,, Phone No. �1 Z—5M
Address of Firm I 924-w 5 T
Location of roposed w rk IfAM 'L n �c ee� %S �vv
Describe fully nature of permit requested T r,!L A Coct U
Starting date Approx.time for completion
Call Before You Dig No. I IS I -0 ^ 1 Z S8 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
No.cuts
Amt.of Deposit$ by
{)Cash O Check
Cut size after Penn. Patch
No. Cuts
Final Billing
Amt. Due Town$
Applicant is responsible for contacting by 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:
Title: D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc -