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HomeMy WebLinkAboutMiscellaneous Street Cut Permits Pleasan (4) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No 32,12 ;; t Contractor UNDERGROUND CONSTR. SERVICES Location �h�tif'� Address 290 HUYSHOPE AVE. Type Work MISCELLAN HARTFORD CT 06106 Phone, No. (860)524-8984 Date-I nsp Needed Date j nsp,. AS Time Insp Needed 1 j,me;",I.nsp'. Inspected. By Work in Progress o ii e�`i ffc(�; Imct` R �,J AT INflorl GMAT Mev' L-CATloa oN ?CWAN f UPt(W 1 i�1� 1'G.sT(�rtS Ttaccpuvrr ��r �A`;�C�1 Q ps p RACt�F lck2 010� Dcn� Ali PcuEr.. s can-'►o(tT 6�> 'Fait;. wad nn�,•J AA.>� �Nr�a wa-r�z Rv/c Qa-rCj4S p(,aCYJD: InpWt Cam— Date Permit No 3212 Town of South Windsor, CT Date ~� 10/ 1'0/2001 Street Excavation Permit Expiratipn'.Date 10/10/2002 Descrip; TEST PITS FOR WATER MAIN LOCATION Applicant Location Name UNDERGROUND CONSTR. SE6tVIt ES Pk AS4NT VALLEY ROAD/ Addr, 290 HUYS,HOPE AVE. HARTFORD CT 06106 Xpe Hof°rWrkMISCELLAN Phone (860)524-8984 Applicant agrees to furnish the '' rf S h' Wi, t sor the amount of bond required and to reimburse Town of ►(ltth vif)`4s0 r for any expenses incurred by the Town for, M&T- t'enat ©r 'repair ti rk fa connection with this permit and that app1ic6st x, ami1x w t and v- 11 . adide by the rules and regulations for permits as , Al", Jow �- f 8°oath Windsor' s Street Cut Permit Manual * PERMIT TO �BE KEPi` aN J43$' ST.T AT ;.ALL TIMES. Issued by �!)� /V Y _ .Tit?e Date Completed 1�'�)s wl .. :Inspected By -- 3vt APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSORf CT FEE $25.00 Name of Firm U g P- wMS t'tau �t P b re; Address of Firm Z O n- Location of proposed work �A s.�► rr V A t: �t Describe fully nature of pen iLuestied L L-,0 A Av _ - starting date Q_c;�_- l L Z e'e i Apprm time for=*ethn w Cali Before You Dig No. Tragic Services Crowd No. Show sketch of proposed work or furnish To be mied out by Town of South Windsor two copies of separate drawing Pavement Indicate North Pmp•size of cut No.cuts "Amt.of Deposit$ w c�cash checic # Cut size after Penn. Patch No. Cuts . ._Final 131111119$ Amt.`Due Payee$ Amt.Due Town$ Applicant is responsible for contacting by date the Police Dept,and C.B.Y.D 1 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 CONNEGTiON 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 Date: r�C' 2©o Signed i Oto Title: D.L#: 1 t O? - PERMIT SHALL BE KEPT ON 3OBS1TE AT ALL TIMES - Standard-Forms\Peffnb\Street Excavation Permit doc