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HomeMy WebLinkAboutMiscellaneous Street Cut Permits Pleasan (5) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3211 Contractor UNDERGROUND CONSTR. SERVICES Location PLeAS- ANT VALLEY ROAD/. Address 290 HUYSHOPE AVE. Type Work MISCELLAN ' HARTFORD CT 06106 Phone No. (860)524-8984 Date Insp Needed Date Insp. 5 At�� Time Insp Needed Tuns;; I'nsp. Inspected By Work in Progress is t o r� A vG� MAW 611C,D►- 1 X f i€1sr it VA vn• c k , , Fv-c�\u4Tff> �O i i3Tv arc GAL = Input Date _ " 7 - 0 Permi ` 'rfa:" 3211 Town of South Windsor. CT Date 10/10/2001 Street Excavation Permit Expiration' Date 10/10/2002 Descr i p: TEST PITS FOR UTILITIES �R�i�, sEw.. F^wc�E Maid Applicant „`` Location Name UNDERGROUND CONSTR. SERVr11t;8 'LEA5ANT VALLEY ROAD/ Addr. 290 HUYSHOPE AVE. HARTFORD CT 06106 Tpe' �o�f .WOr`1C .MISCELLANY Phone (860)524-8984 Applicant agrees to furnashSOLTttl` ,_Wi,ndsor the amount of bond required and to reimburse .-1 he Town 7of 'Solo i "Wint ar, for any expenses incurred by the Town far, �44,h"t'Onn rice or repa- k connection with this permit and that applicant , ami1 W1" and willabide by the rules and regulations for permits as ic�ca l i n the ,Town :cif South Windsor's Street Cut Permit Manual . , * * PERMIT TO BE KEPT U1 J,Q$ SI.Tg-JAT' ALL TIMES. Issued by 2 Date Completed I`bspected By APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN MALL 040 SULLIVAN AVENUE SOUTH WINDSORf CT FEE $25.00 Name of Firms PhakAjkcne No. ` Address of Firm q U Location of proposed wo G 4. S;- V AN.L,L- Descri fully natu permit requested v n ITT FOR r�cl,V Starting date Approm time fb cainr Cap Before You Dig No. Tmafflc Ser does Control No. Show s1wtch of proposed work or furnish To be und out by Town of South Windsor two copies of separate drawing Indicate North Prop.size of art -OPS tT' No.arts Z©A iYZ -l'�1,d�rcJ ..Amt of Depot# W I2•ctvAg�E l M,Pkiui✓y-k( ()Cash(j o>,edc is uaA L-C S'r � T 1. A'UT VA(,(,� Cut size mur Perm.Patch No. Cuts Final milli g Amt Due Payne$ Amt Due Town$ Applicant is responsible for contacting by date the Police DepL 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 TOWN ZSOWINDSOR'S STREET CUT PERMIT MANUAL Signed: u�` Date: 0 f Title: J'y` 41A D.L*: .l 9 Lf 0 PERMIT SHALL BE KEPT ON 3OBSI1E AT ALL TIMES ___ _ Standard-Forms\PermiWbvet Fxavation Permitdoc