HomeMy WebLinkAboutGas Street Cut Permits 65 Rye Street 1
Permit No. 2514 Town of South Windsor, CT
Date 11/20/1998 Street Excavation Permit
Expiration Date 11/20/1999
Descrip: MANEELY'S
Applicant ' s Location
Name YANKEE GAS "'RYE 'ST
Addr. P.O. BOX 1030
MERIDEN CT 06450 �� ! �f„ Wor*' 'QAS
Phone (800)989-0900
Applicant agrees t4 : r~fr7 i srh the Town SOut" d,i ndsor the amount of bond
required and to re i mbu r tu ': ove `� Cht� ar for any expenses
incurred by the Town for- ti6tm} snanc-,.or e.- connection with this
permit and that app 1 i as i; a "awl-F and', W �1.l k i de by the rules and
regulations for permit taird i t1f �SothWindsor's Street
Cut Permit Manual .
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* * PERRMMMIIT Td"BE KEPT, OJ+J QB fi v+ T AALL TIMES.
I s s u e d by �T a t
Date CompletedInspected By
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APPLICATION FOR
O SOUTH EXCAVATION PERMIT
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm �I a n iC¢La. 6o.S S Q s 1 C.a-S Phone No. $�oCd zq z `]
Address of Firm \ �i \\ L
Location of proposed work
Describe fully nature of permit requested l=x C.o.-J o.)t Q- Z n S < ' C.A
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Starting date \\ - Z`-t -c 8 Approx.ti for completion \ rn o c-�1
Call before you dig no. 1g q$ `-\rl d Z 4A Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut 4!2
No.an
Amt.of Deposit$ by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing$
Amt.Due Payee$
Amt. Due Town$
Applicant is responsible for contacting
the Police Dept.and C.S.Y.D. by 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:
J
Title: F/ e d A n Z e / D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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