HomeMy WebLinkAboutGas Street Cut Permits Pleasant Valley TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3231 Contractor YANKEE GAS
Location Address 112 PROSPECT HILL RD
Type Work GAS E. WINDSOR CT 06088
PhOne No. (860)292-2242
Date Insp Needed C}ate, ,Insp;
Time Insp Needed �rn ' Is �.
Inspected By
Work in Progress
Input" (.�tti Date
1e�7' 1, � No. 3231 Town of South Windsor, CT
Qa£e 11 /15/2001 Street Excavation Permit
Expiration Date 11/19/2002
Descrip: NO FEE YANKEE GAS
App 1 i cant, Location
Name YANKtE GAS
Addr. 112 PROSPECT HILL RDA
E. WINDSOR CT 060$8pe ,,ofeWbr" ,GAS
Phone (860)292-2242
Applicant agrees tG f u rn' e h, the =Tdwn of So uth Windsor the amount of bond
required and to reimburse :1a.h� ,TQwn,..of South Windsor .for any expenses
incurred by the Town fay ma"fin nay► eon. r� pair,'w,�+rk n connection with this
permit and that appi icant i's, ami 1 ai r, W a4 1 abide by t,he_,,r•ules and
regulations for permi5 '`a crt;ttl 7i tle ,Town .tii= South Windsor' s Street
Cut Permit Manual .
* PERMIT TO,, 9E ,KEPf JOS `SITS"'AT" ALL TIMES.
Issued by - .�'4. Tit"1e 6:5-c lfs-s 7--
Date Completed ®� z d� _ Inspected By lr '-�
Y
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1S40 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $23.00
Name of Firm o
Address of Firm
Location of pr woLj
fully natuof p u r
Starting date���c�� ( Q1s� ,� � �
Appm time
Call Before You N n 8 Traffic Services Control No.
Show sketch of proposed work or furnish To ba til out by Tom of South Windsor
two copies of separate drawing As
y --e-a-- Y,a..xerrF
Indicate North Prop.size of at
Sure�, "Amt.of Deposit$ ; by
t)CLqh0 Check
cut size after Perm.Patch
—�— --pleQ ctrI4- �a No. Cuts
"
5'X 15 Amt.Otis Payee$
AmL Due Town
Applicant is responsible for contactlog by ddate
the Police DeM and C.B.Y.Q
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 OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: ( F Date: 1 Co 0
Title• D.L#•
PERMIT-SHALL BE KEPT ON JOBSITE AT ALL TIMES
_Standard-Wrms\Permits\street Excavation Permitdoc. _-