Loading...
HomeMy WebLinkAboutCAble Street Cut Permits 109 Quarry Broo y r" Permit No. 2641 Town of South Windsor, CT Date 03/30/1999 Street Excavation Permit Expiration Date 03/29/2000 Descrip: PEDESTAL TO HOUSE 3 Applicant Location Name COX COMMUNICATIONSBROOK DRI Add r. 801 PARKER ST. w ` ' 06040 CT 06040 IJ 40 Tape '© flr` SABLE Phone (860)512-5000 Applicant a rees 9 t�sur tt Tl ,f S .* Vtnior the amount of bond required and to re i mbburaw Townes �fh r, fir any expenses incurred by the Town f%e ' n connection with this pe rmi t and that app 1 iaDt ate regulations for § 1, i de by the rules and permi tsasf� uth Windsor's Street Cut Permit Manual . * * F R M I T TO LL TIMES. Issued by Date Comple� (� ~ Inspected By t APPLICATION FOR STREET EXCAVATION PE TOWN OF SOUTH WINDSOR PERMIT PUBLIC WORKS DEPARTMENT L% Y� TOWN HALL 1S40 SULLIVAN AVENUE SOUTH WINDS RF CT Name of Firm C /Address of Firm Phone No. Location of proposed work � Describe fully nature of permit requested Starting date 2 �`c Call Before You Dig No, d C Approx. time for completion Traffic Services Control No. Show sketch of proposed work or furnish two copies of separate drawing To be filled out b Town of South Windsor Indicate North Pavement ut Prop.size of cut No. cuts Amt. of Deposit$ by O Cash O Check# Cut size after Perm. Patch No. Cuts w Final Billing$ Amt. Due Payee$ Applicant is responsible for contacting Amt. Due Town$ the Police De t. and C.B.Y.D. by date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF.BOND REQUIRED OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR R PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND MAINTENANCE OR REGULATIONS FOR PERMITS AS OUTLINED IN THE RED AND TO REIMBURSE THE TOWN IS TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. REPAIR WORK IN CONNECTION WITH THIS Signe _ Title: -- Date: 4 D.L.#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc