HomeMy WebLinkAboutCAble Street Cut Permits Between 50 and v
Permit No. 2552 Town of South Windsor, CT
Date 02/17/1999 Street Excavation Permit
Expiration Date 02/17/2000
Descrip: INSTALL 8' GROUND ROD AT IN BOW TRAIL
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Applicant
Location
Name COX COMMUNICATIONS
T�EW� 31
Addr. 801 PARKER ST. 50
� '
06040 CT 06040 '
�` TYp 4 Nft�r CABLE
Phone (860)512-5000IV
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Applicant agreea
r am. �� ' dsor the amount of bond
required and to reirnnbrr tie Tom n� tPouthr ,for any expenses
incurred by the To o �ir �� � epaiZ- in connection with this
permit and that app t � � f°a l w i lr> abide by the rules and
regulations for permits' ss , � thedl n d`f '=South Windsor ' s Street
Cut Permit Manual .
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* * PERMIT 4 Bf t«P' ' "64,, JC}B,"&17F,.. AT ALL TIMES.
Issued by r
,P rit1e _ w�i /�ZL
Date Completed Inspected By loll
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APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALO
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm
Adils�r - Phone No,
Address of Firm.
Location of proposed work: gre.,t._' �-
Describe fully nature of permit requested sn4// 6.orK
c
Starting date Approx.time for completion
Call Before You Dig No.
Traffic Services Control No,
Fsketch-of proposed work or furnishTo Tvlied ut b Town of;South indsor
pies of separate drawing T be o v W
Indicate North
Pavement Cut
Prop.size of cut
No.cuts
Amt.of Deposit$ - by
OCash OCheck#
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt.Due Payee$
Amt. Due Town
_
Applicant is responsible for contacting A
the Police Dent and C.B.Y.D. date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND 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 STREET CUT PERMIT MANUAL
Signed: Date:--fL Al \
Title:
D.L.#:
PERMIT SHALL BE KEPT ON 3OBSITE AT ALL TIMES
Standard FormOermits\Street Excavation Permit.doc