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HomeMy WebLinkAboutCAble Street Cut Permits 48 Patria Road s TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3654 Contra ctorTELE-N2,rWORKS Location 0048 PATRIA " A'cldres ., 36 .:b. LORE D�2IVE Type Work CABLE RALJSTON RI ;0242,1 Phone Np ( .try '')461'8420 Date Insp Needed + ----- 47 LAatenspw- .j ._ Time Insp Needed _—_-- 1m� I" _' � � ., L — Inspected By Work in Progressokf Input ,'Date Permit No. 3654 Town of South Windsor, CT Date 03/31/2004 Street Excavation Permit Expiration Date 03/31/2005 Descrip: NO P FEE FOR WORF£:DONE,. F6R:;c4`:-: ;::: PUNT"CATIONS Applicant Location Name TELE-NETWORKS 0p48 PATRIA BRAD Addr. 36 SYCAMORE DRIVE CRANSTON RI 029`27 Type o 1$b� CA 18 Phone (401)461-8420 Applicant agrees to„furna�t"the Te5wa:x:: f 3ovti'h Winds'ox the::ii amount of bond required and to rei:,:ii:. the TOV�Y C? Eot li ;Vsn3pczr fta;r 'any :e pEnses incurred by the TowY� too, mazztt�nance"`or repair t ork,:in; ebnriecti`on with this permit and that applicant �s faznYliaxitri will abide .by the rules and for ons re ulati g permits as &Utlinbd n the';TOWah of S©uCh Ya:ndsor's Street Cut Permit Manual. * PERMIT TO �,B�DE/ KEPT Of7''7OI3 S.IT 1T„ALL TIMES. Issued b �.�-t gob-fi — -------- - - T.i t i e f LAx^ y c�Date Completed _—__---_----- Inspected y CauV`� APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm Phone No. Address of Firm ,?q(D CN 3�e✓C ( VJ1ND502- Location of proposed work Ply I`l2-lf} iU, — a qe Describe fully nature of permit requested C UT 3'X ' S' cTl v(,j Tp &YPa (-t AS ( l N!✓ T(fl✓N f3612E rjo0l TtIJN�tC +`-civ��G� Starting date Approx. time for completion_ 0,1 Call Before You Dig No. Traffic Services Control No. Show sketch of proposed work or fumish ! This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor Pavement Cut No.cuts Est.Size of Perm. Patch(s) G�I v l�4 u Est. Pvt.Thickness _in. Est. Unit Price$ s/�Y Amt.of Deposit$ Total Due$ — by Cash( )Check# Permanent Patch No. Cuts Size of Patch(s) 41 Final Billing $ Amt. Due Payee Amt. Due Town co 10✓t $ y Applicant is responsible fo tacting del 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 T WN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: ,t Date: Title: e YL tr. Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES oo>c (J' ,.., r w rc i r � C4 5174 S W A 0 2—2 4 IS DAMAGED 72CCJP--L05C9K1 SW13240002 2 A02A \ 26/26 47/34.5 0� 17,0 24/23 748 A 8/0 8/13 259 _ 78.4V THRU 1-5 C5 \ \ 5112 12 --� S`.J13240011 - 100, 17 8g — —5 34,24 "D 13 003_ � 114, 41.24 ti 2 a - , 00' 12 0' 1 1 IS 'l HARDLINE E .j�. l C 1 r' t o y T RFORMANCE WELDING l C 1 39 RG6JA Ace I � '� Sw 40017 VALLEY ANIMAL HOSPITAL 7 14of 17 J f C 1 4185 Av 34,24 cin a ,r ANIMAL HOSPITAL-KENNEL NA 5113 C1