HomeMy WebLinkAboutSanitary Sewer Street Cut Permits Smith r
BOND TOWN OF SOUTH W INDSOR -
"Am: 't Req. PUBLIC WORKS DEPARTMENT
Date
tn't on File TOWN HALL IW SUUI AN AVENUE
' Date of Expiration
SOUTH WINDSOR, CT 06074 Permit No.
APPLICATION F9 , PERMIT Permit Expires
FEE D----
j Name and address of applicant GLENN CONSTRUCTION CORP. Ph�neo. G43-804p86 SANRICO I)RXVE, MANCHESTER, CT. 06040Location of proposed work Pleasant Valle Road w, heeler Ro d, th Street
Describe fully nature of permit requeste
u---aAnitaru sewer installation, road cut
' 3
.Insurance on file 77vWith Town yes no . Date policy expires 2 l 92
Name of Insurer Aetna Casua & Surety
o Approximate time for completion 90 da s Desired starting da
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u Call before you dig ticket ldo. 91261740 � r
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Show sketch of proposed work or furnish 2 copies of separate drawings
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C per plans and specifications for:, l�—
i Sanitary sewer System; tmpro,&ments
p, Project 90- k
m Towns.of. M,anelzoster and South Windsor
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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 re abide by the rulesnsl
regulations for permits as outlined in the Town of South Windsor's (Pavement Cut Regulations;)
Signed
APPROVED. DATE APPROVED*
Supt. of Highways DATE � 2�lc
o n e e r _�/
F.OR INSPECTOR: Date work started
ufficient notification received: es T\ Date completed--<
Unusual conditions no. encountered y ype of repair: Perm. Tem1p.
Material slips attached: yes no Dated for Permanent repair
Signed
Inspector