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Driveway Street Cut Permits 79 Quarry Br
00, TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4003 Con:t:r'a'ctor E.C.'Px.VElTG Location 0079 QUARRY BROOK DRI s dd.dre?, s 13%`;,W HERlttl... ST Type Work DRIVEWAY �ANHES`TR`& QT 0:5.040 �hga3ewNo C8 t3>04 9834�: .k. Date Insp Needed Time Ins Needed ., p -------- znua e . Inspected By �! 3 4f Work in Progress s : _ ------------- .: o�may`:n; w ":... —sn-- — ---`— '--- I Permit No. 4003 Town of South Windsor, CT Date 06/02/2005 Street Excavation Permit Expiration Date 06/02/2006 , kS.. Descrip: F A y• />k. 1 i k>;t.cant ,.�"�; :'PP ..r:. ��` ac. ,1,a Name E.C.PAVING p. O'O3L`;DRI Addr. 139 WETHERELL `'<' MANCHESTER CT pfr{740 'fiefox� "#�2IVEWAY Phone (860)647-9834 s Applicant cant a ree°' ^.L PP � t :>f:ur�>i`s.I .t 5 ,4„ h.�:?:%�� "%�,�� Ot��ih Win'''s.a`r?'."t'he`s::amtunt of,. " �. bond required and to rezmbuf f 4 s�`:"�'t�z:To6Fzir::ks'��s�,a�`C• 2 �; G:z� n o#;3a�,:. .: ',,.;k''""�.:,. :<�.:i:�x' ;a Y>a<e'Stp�nses incurred b the Tow' w Y b q3.„ ltorra:nce,:s ::,xe .tS"`,; jir�zYcton with this permit and that a l- -ant 1 ' f P PP isa�}1za7rEt wily'a �r?e'`by the rules and 3 : regulations g bons for permits as;.; 6ait2ine4; r# le °f :SEztt'ty�• Dd 'h.dsor s Street Cut Permit Manual. 4' v' * * PERMIT TO"::$"' EFT: QN'.�C�$•S'T7ErAT°,:�17f TTI�IES. Issued by ` : Date Completed _-- Inspected By HrrLIUATION FOR STREET EXCAVATION PERMIT /-/OD,3_ TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm m'�s S `�,f1d ,^J Address of Firm 3 ' � ��' n� ` Phone No.&6) Location of proposed work u ROO<- /21 V C Describe fully nature of permit requested p t,if i4-N U E-E R f S%7/Uri Starting date! P . / .p A Call Before You Dig No. U O Approx.time for completion,_ �- Traffic does Control No. Show sketch of proposed work or furnish two copies of separate drawing Indicate North This sectio to tie tied otrt Town of nSouth Windsor Pav�ernent Cut No.cuts Est-Size of Perm.Patch(s) y�©(� Est Pvt'Ttuq�s in. / ' SC Est Unit Price$ Amt-of Deposit$ Total Due IL...by 0 ( )Cash( )Chedc# lilt Pennaeent Patdh Sri-)P No. Cuts Size of PaWs) EX FI" Amt.Due Payee a t.Due Town P 1App9cant�Is responsible for contacting B y the and C.B.Y.D. Date 1 AGREE TO FURNISH TO-THE TOWN OF S TOWN OF SOUTH WINDSOR FOR SOUTH WINDSOR THE AMOUNT W BOND FOR REQUIRED AND TO REIMBURSE THE CONNECTION WITt-i THIS ANY EXPENSES INCURRED BY THE TOWN FOR MAI °ERMITS AS OUTLINED IN TTH TOWN THAT t AM FAMILIAR WITH AND WILL ABIDE MAINTENANCE Rl�AND REGULATIONS EPAIRjFON SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. 'greed: Date: L5-- CZ(v •C) Driver's License#. ITS BF KFPT'not_irtcec�re er w�. ,-.■.��