HomeMy WebLinkAboutMiscellaneous Street Cut Permits Pleasan (2) T 11►
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3987 CoatIr''actor SPA. •Z 91-W.1_ CONSTRUCTION
Location PLEASANT' VALLEY & CLARK �drZ����;, 's,'' ; 50 �,�5�t"OFFIVE RD
Type Work MISCELLAN ,;>'' hF.E:;:E,LD','' T ;060'8:2
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Permit No. 3987 Town of South Windsor, CT
Date OS/27/2005 Street Excavation Permit
Expiration Date 05/27/2006.
Descrip: CONNDOT 132-125.TS-W: 97-,ad1 Al •>" z
Applicant > - Lt�.e.a'ti'`n
Name SPAZZARINI CONSTRUCT" -1. "` s, ? '`',<„T CLARe,,,.
Addr. 50 POST OFFICE RY7 Yy �'
ENFIELD, CT 00082 f ;;<,qf Wot, M.I` ittL:AN,.;
Phone 860 745 5683
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App ice t ag n 1' n r `erzi'`:'`t. xrE" Wi ''s a"'a `ount of bon
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required and to re`#mbu. s'e; xe',Tovr =<s "fp'. ;>a>•an e'#enses
incurred by the Towz�',£� tna�1�C zzrL WN �onn'ection with this
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permit and that applicant is famt`,i WEN arid�ws�r abide by the rules and
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e regulations for permits .;as, o3 t1ixi2: ::. E�tvn' ofy"�:ouG:Ti...•Windsor's Street
Cut Permit Manual.
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* * PERMIT TO BE 'iCk1' 1J£I,:JO$.. SITE<:} I RAL1� .TIMES.
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Issued by "� ----
Date Completed _—_� Inspected By✓� —_
APPLICATION FOR STREET EXCAVATION PERMIT 9 s y
' TOWN'OF SOUTH WINDS6R
' Permit No;
PUBLICWORKS DEPARTMENT
TOWN HALL
1.540 SULLIVAN,AVENUE
SOUTH 1NINDSOR;CT 06074
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Name of Firm i92 COS,
�.. ,Rhone No: g7f�
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Address of FmU DSO '" liCic �.?: .c.._
L,oeation of-p[opQsd yvorlL iPr�r - U�4tr�Y ,o - l.K .c.
Desa Ibe fully nature of Oerniit requested ^� �5� L
$4r,tmg date
Appfox time fot oompletI6n !y
Call Iefole You Dig No
Traffic Servtoes Control No
Slww'slcet flf3P�posed wiNR far fiI- sh
iv4o copies of separate draining Indite Nrxth TI!is=seorl to be IIedouty
:s _ T�►�of. =Windsor'
Parrcmekt Cut
No.cuts
ESt
�GI✓ C �vsGi 1 ?n� PLVJ .Size.of Perna,Patch(s)
Est.Pvt.Thickness: in.
EsL.Unit.Price$ ,
Amt.of Deposits,
Total Due$' l by
Pt MMent Patch
No. Cuts1`__
Size of Patch(sj
Final Billing
$
Rant.Due Payee
$
Arnt,Due Town
sy_
Applican`t'Is responsible for contacting Oate
the Police De t, C B.Y.D.-
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED ,AND 1-0 REIMBURSE THE
TOWN O(=.SOUTH.WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR`MAINTENANCE OR R CONN EPAII _WORK 1N
PERM ECTI WITH THI ERMIT AND THAT 1 AM FAMILIAR WITH AND WILL;ABIDE BY THE RULES AND REGULATIONS FOR
IT UTLI D TH SOUTH WINDSOR'S STREE'T:CUT PERMIT MANUAL:
Signed: IS
.. Da a: as/_v_ �_
Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES \ `_
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