HomeMy WebLinkAboutSanitary Sewer Street Cut Permits Pleasa TOWN OF SOUTH WINDSOR
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!�'t Req. PUBLIC WORKS DEPARTMENT Date
TOWN HALL
t m' on File 1540 SULLIVAN AVENUE Permit No.
SOUTH WINDSOR, CT 06074
Date of Expiration Permit Expires
APPLICATION ICATION FCC# PERMIT
:I Name and address of applicant GLENN CONSTRUCTION CORP. Ph neNo. 643-8040
86 SANRICO DRIVE, MANCHESTER, CT. 06040
Location of proposed work Pleasant Valley Road, wheeler Ro d, Smith Street
Describe fully nature of permit requested sanitary sewer installation,road cut
Insurance on file with Town yes no Date policy expires 211192
�1 Name of Insurer Aetna Casua & Surety
�) o Approximate time for completion 90 days Desired starting date
u Call before you dig ticket 140. 91261740
4 Show sketch of proposed work or furnish 2 copies of separate drawings
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o plans and per p specifications for:.
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4-3 14 Sanitary sewer System Xmprovments
.. 0 Project 90-�45, k
Towns,.,gf Afance ester and South Windsor
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0 Applicant is responsible for contacting the Police Department and CALL BEFORE YOU DIG.
I agree to furnish to the Town of South Windsor the amount of bond or deposit 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 .4nd
regulations for permits as outlined in the Town of South Windsor's (Pavement Cut Regulations:)
Signed
1 �
APPROVED: DATE APPROVED* - DATE'
Supt. of Highways o n eer
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,FOR INSPECTOR: Date work started Date completed r
_ _ _efficient notification received: yes no- Type of repair: Perm. -T.emp.
Unusual conditions encountered
Material slips attached: yes no Dated for Permanent repair
Signed
. .Ins actor _