HomeMy WebLinkAboutSanitary Sewer Street Cut Permits Wheele BOND TOWN OF SOUTH WINDSOR N 2 - 772
/Am't Req. PUBLIC WORKS DEPAR'TUMT
TOWN HALL Date
m't on File 1540 SULLIVAN AVENUE
' Date of Expiration
SOUTH WINDSOR, CT 06074 Permit No.
APPLICATION F( , PERMIT Permit Expires
FEE /�----
f Name and address of applicant GLENN CONSTRUCTION CORP. Ph rneNo. 643-8040
, ., 86 SANRICO DRIVE, MANCNESTER, UT. 06040
¢ Location of proposed work Pleasant Yalley Road, hgheeler Ro d, Smith Street
- Describe fully nature of permit requested
s nitar, sewer installation road cut
Insurance on file with Town es no
s= y Date policy expires 211192
Name of Insurer Aetna Casua & Surety
f o Approximate time for completion 90 da s Desired starting d Call before g date
y v You dig ticket No• 91261740
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Show sketch of proposed work or furnish 2 copies of separate drawing04
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Cper plans and specifications for:
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� Sanitary sewer System Ymprov ments
u- A. Project 90-q, 4
Towns ,of Manchester and South raindsor
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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 abide by the rules 4qd
regulations for permits as outlined in the Town of South Windsor's (Pavement Cut Regulations:)
Signed '
APPROVED: DATE APPROVED-
Supt. of Highways DATE Z ,f
o n eer
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:✓ .FOR INSPECTOR: Date work started
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Sufficient notification received: yes ate completed-
no Type of repair: Perm.. T
Unusual conditions. encountered e
Material slips attached: yes no Dated for Permanent repair
Signed
Inspector