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HomeMy WebLinkAboutDriveway Street Cut Permits 303 Oak Stre Permit No. 2961 Town of South Windsor, CT Date 05/04/2000 Street Excavation Permit Expiration Date 06/04/2001 Descrip: Applicant Location Name BOUTIN & SONS ©303 ,�OAK-..STREET Addr. 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 7yp'e tJf ;Wark DRIVEWAY Phone (860)623-2526 " Applicant agrees t"'o:; `url x a the fic + ;cif ' Seth `Windsor the amount of bond required and to reimburse 8' fiow 4 with W n' for any expenses incurred by the Town fdr- aaairltenaxr a or~ '="re pair work in connection with this permit and that app 1 int ,f` 1r and ar ,l 1 abide by the rules and regulations for permis as.'`O utl i nevi "���rite "Twt :.of- Scuth Windsor ' s Street Cut Permit Manual * * PERMIT TO' .S'E rK�PT `SIfiE AT ALL TIMES. Issued by ��QJJA _ Title Date Completed _ Inspected By _ ,i_ Permit- No. 2961 Town crr Soul---n io! Visor . �? :Ua e 05/04/ ., �UOG Street, ExcavaT ,c:, Expirat.'+on Date 05/64/2001 Descrrlo: Epp 1 t; Name BOUTIN & SONS u�C�3 vA�, ;;TkLET Addr. 121 WINDSJRVII_LE ROAD BROAD BROOK CT 06016 Type Of'' Work. DRIVEWA,( Phone ( 860 )623-2526 App l ,t cant agrees to furnish the I own of South Windsor the arnount of bond required and to reimburse the Town of South Windsor for anv expenses incurred by the Town for maintenance or repair work in connect"ion' viith th? s permit and that applicant is fami 1 i ar wi t�h .and w 1` i abide 'oy the r kt 'es ano regulations for permits ;as outlined in the 'Town of South Windsor ' s c;treet. Cut Permit Manual . * PERMIT TO BE KEPT ON JOB SITE AT ,ALL TIMES . Issued byTitle .? Date Camp.leted __._._.._-- -----------_._._-- Inspected By -__-- APPLICATION OWON OF SOUTH EXCAVATION PERMIT PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firmei? ® Ph No. Address of Firm Location of proposed work Describe fully nature of permit requested Starting date Approx.time for completion Call before you dig no. 2 0o o f a ///5 Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of So. Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt. of Deposit $ by (1 Cash(1 Check# Cut size after Perm. Patch No.Cuts Final Billing $ Amt. Due Payee $ Amt. Due Town $ .Applicant is res able for contacting � the Police Dept. and C.B.Y.D. by date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RILIMBURSE 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 JOBSITE AT ALL TIMES