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HomeMy WebLinkAboutCAble Street Cut Permits 5 Old Farm Road i Permit No. Town of South Windsor, CT Hate 07/20/1999 999 Street Excavation Permit Expiration Date 07/19/2000 Descrip: CABLE SERVICE Applicant Location Name COX COMMUNICATIONS C0C31'i OLD FARM ROAD Addr. 801 PARKER ST. 06040 CT 06040Ty�e, q Ic�.r'k ,CABLE Phone (860)512-5000 Applicant agrees to. 4l Ts ;thy ; ciW . n Of-:8-Oath -Windsor the amount of bond required and to re�mbus `owr of�Sruth 'Wit� or_ , pr any expenses incurred by 'the Town f r `` tenance � epai r trq�t-k n connection with this permit and that app 1 i cant i°.s ;f.9 1 a Otr 4i'th and ,wi 1 1... abide by the rules and regulations for permits as �tl"i-iie i n =the Tawn` of Cut Permit Manual . south Windsor's Street ` . . * *A PERMIT T BE KEPT OP1 'JO8 ,SITE AT ALL TIMES. Issued by w. Title Date Compie a Inspected By f -4- �77a APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE a SOUTH WINDSOR, CT FEE $25.00 Name of Firm Phone No. Address of Firm O r c ehc ,e Location.of proposed work 0,1 Describe fully nature of permit requested Starting date 7 �.3 94 Approx.time for completion )rd0 Call Before You Dig_No.19993©0/a 9'7 Traffic Services Control No. ' Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts j efzr Amt.of Deposit$ by O Cash O Check# T Cut size after Perm.Patch e ecc No. Cuts Final Billing$ _. Amt. Due Payee$. Amt. Due Town$ 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 ABID.E 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