HomeMy WebLinkAboutSanitary Sewer Street Cut Permits Pleasa (2) � BOND TOWN OF SOUTH WINDSOR N2 772
Aren't Req. PUBLIC WORKS DEPARTMENT Date
TOWN HALL
rn't on File 1540 SULLIVAN AVENUE Permit No.
SOUTH WINDSOR, CT 06074
Date of Expiration Permit Expires
APPLICATION F2# PERMIT ----
FEE _ D_
f Name and address of applicant GLENN CONSTRUCT101V CORP. Phone No. 643-8040
86 SANRICO nRIVE, MANCHESTER, CT. 06040
Location of proposed work Pleasant Valley Road, wheeler Ro d, Smith Street
Describe fully nature of permit requested: sanitarta sewer installation, road cut
Insurance on file with Town yes no Date policy expires 2 1 92 t
c Name of Insurer Aetna Casua & Surety
:0 Approximate time for completion g0 da s Desired starting date
u Call before you dig ticket iJo• 91261740
- a Show sketch of proposed work or furnish 2 copies of separate drawings
a
O per plans and specifications for:
oSanitary sewer System Ympro,&ments
Project 90-4�,
Towns of HanCheste.r and South Windsor
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C 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 .and
regulations for permits as outlined in the Town of South Windsor's (Pavement Cut Regulations:)
Signed
APPROVED: DATE APPROVED* DATE Z �'
Supt. of Highways o n eer
FOR INSPECTOR: Date work started Date
a e completed
ufficient notification received: yes no Type of repair: Perm..Temp,
Unusual conditions. encountered
Material slips attached: yes no Dated for Permanent repair
Signed
Inspector