HomeMy WebLinkAboutWater Street Cut Permits 994 Pleasant Va (3) Perpi_t_ No. 3085 Town of South Windsor, CT
Date 04/ 17/2001 Street Excavation Permit
Expiration Date 04/ 17/2002
Descrip: REPLACE FIRE HYDRANT
Applicant Location
Name MDC ,0 94.'P-LEASANT VALLEY"z
Addr. P.O. BOX 800
HARTFORD CT 06142 � ' „Typs of U ,ark WATER
Phone (.860 )278-7850
;.
App1 icant agrees toyurrrrtsh the'! r �yn� out,? W; ? dsor the amount of bond
. .,
required and to reimbu��s� nth sor- °f6r any expenses
incurred by the Town Zfm-r ra1ry in connection with this
permit and that apple t r°5 f �xr an i'l,Iabide by the rules and
regulations for permits ,as + 1 ne . � :T Qf. ��Sputh Windsor's Street
Cut Permit Manual .
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* * ERMIT TO. sE KEP'� C 408 SY 'E AT'`ALL TIMES .
Issued by 'T11e
Date Comp l e`te C7 3.0 inspected By __
own 0-: '50u`ri Vi 1 ndsc�r'
?erm7 -No . ?0t�5 Street e t EKravar.ion Permit.
04,i 1 ,i 2001
Ex,oiratign Late 04117/ 214 02,
uescrip: REPLACIE IRE i-i DRAN:
ApGi i car!t
0994 P1 ��A.?t=.{,
Name MDC
Addr .. P .': B',-jx sit�,,
HA ?TECRt.i + i L� i 4 Type of wt�s"4< u'AI E.R
Phone r 800 ?4 S-7 6 5 0
App i i cant agrees to fi Larn t ah the Town of South `bv;nclsor the amount .1f bcnci
required and tc) reimburse the 11 Town of SOUtn Windsor for any expenses
incurred by the Town for- ri�ia1 ntenanGe or re0a'1 t` work i r; connection with this
ic rtt � � i r with and w4C1 ab
permit and that appi ide by the rules and
regulations for permits as Outlined 'in the Town of. South Winasor ' c Sxreet
cut Permit Manual .
* * PERMIT TO BE, KtPf ON JCB SITE AT A L TIDES .
—+, Title _.
Issued by ---- - — -- - -- - - -- 1 r
Inspected _ ----
Date completed ' f
i
Apr-06-01 08: 30A
• W P.02
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm Phone
Address of Firm
Location of proposed work r -
Describe fully Mature of permit requested
Starting date '�' — — Approx.time for completion_
Call before you die no....-7-00//(a l i� S--3 Traffic Services Control No.
Show sketch of proposed work or furnish Tote filled eut by To", of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North
Prop.Size of rapt____
uJ
6 J< �� p No-cuts
Amt. of
�A✓��,� `� Deposit i by
w� /gyp y
a/ ZN ()Cash I 1 Check#
/l r
Cut size after Perm. Patch
r Y
No.Cuts
LOJ
Final Billing $
Amt.Due Payee 4
Amt.Due Town aI
Applicant is responsible for contacting
the Police Dept.and C.B.Y.D. by date
i AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BONO 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: Date:
Title: { ✓<< Pi' D.L-tl
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Apr-06-01 08:30A
P_O1
C
The Metropolitan District
FAX
To; -.� �/;R�
From:
Fax: Pages: r
Phone: Date:
SUBJECT:
y
125 Maxim Road Hartford, Connecticut 06114
Fax: 860-550.7961
Telephone: 860-278-7850 Systems Repair ext. 3610
Construction - Survey ext. 3631