HomeMy WebLinkAboutCAble Street Cut Permits 46 Partridge La TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4335
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Permit No. 4335 Town of South Windsor, CT
Date 11/20/2006 Street Excavation Permit
Expiration Date 11/20/2007
Descrip: REPLACE CATV
Applicant 1 is ant
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Name TELE-NETWORKS b' ?k rPARTRIDC ?.•liAIE.EK .
Addr. 31 BAKEW ELL C a
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C RAN STON RI
029
21
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Phone O1 4 4� 8420
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Applicant a rees t'o"f tr'�s' '
9 . . ,S ; the T:xTYX+;:P ` S:q'.Yz 'ia Windsresx<;: .1�e...a lint of to bond
required and to reir&b'vr;4e's,:; h oft ;: q:u '"'.u. h"<tR" 3a rbx, f. ;'-ran' s e s
incurred b „n3 the Towri'::f
snctign with this
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permit and that appli�c�iIt; - .. a .. ' 46z s>.;4 A, �+3`'1:1zcl.:>
vy d�4.>:., 77 e by tble rules and
regulations for permi as.;,out. > ri' 'd.i `he: 2':pav "So z'f' y a n, aor's S
Cut Permit Street
Manual. X.
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* * PERMIT TO`:;$k 3CFT.,.OIL"'ri3Q. =.: I;x:E. YY'T`A3�F:<:TI'�I+F�S.
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Issued by
Date Completed _------_--_— Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT 4,33 5�
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm_ W() �� �� S a 3 u Ad Phone No.
Address of Firm r="W�(_L C t
Location of proposed work---?A P—Tj2
Describe fully nature of permit requested /2 PWC COT V
Starting date 11,
(p L��Q ��; 3 Approx.time for completio
Call Before You Dig No.�00 /
- Traffic Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This section to be filled out by
Town of South'Windsor
Pavement Cut
No.cuts
0 Est.'Size of Penn.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
,n Amt.of Deposit$
Total Due$ b
tf y
)Cash( )Check# .
G1+Tv Permanent Patch
P "
No. Cuts
Size of Patch(s)
4 y� Final Billing
CA $
Amt.Due Payee
1 \ Amt.Due Town
By
Applicant is respgrisible for contacting
the Police De A.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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS S OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ned: Date: / U U (p
Title:
Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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-PEB29 O,Apg p p, D; D REVISION:3/28/2002 1431.AME
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