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HomeMy WebLinkAboutGas Street Cut Permits 549 Rye Street Permit No. 2276 Date 02/ 10/ 1997 l-,)wn of South Windsor, CT Street Excavation Permit E„p i r'a t i on Date c,G/ 1 C+/ 7 9�ir_'=; Descrio; Applicant Name YANhEE ray;c Location Addr .. P.O, BOX 339 0549 'RYE S"f,REET ENFIELD CT 06082 Phone ( 860 )292-2236 1 Type of Wort; CAS Applicant, agrees to furnish the ToWn of S©iith Winds required and to reimburse ,t ie Town of` '8ta�u,�h W�;r�dgty� for any expenses incurred by the Town for• MaIntena,p ter �4 air or the amount of bond Permit and that a p Hies applicant �$ farni €ar wait nd' 71 an connection with tj,)is +'egu f at i ons rc�r per m i is as out l i ned i n` the' Town of ' y the rules and CU'1; Permit Manual . mouth Windsor s Street * FLRMIT , 0 BE KEPT ?iV 408 SITE AT ALL TIMES. * k Issued by .d-rim-"'�-`=• ,^- _- - - _ T it 19 Date Completed Inspected By Jvhng�n 4L�4. APPLICATION FOR STREET EXCAVATION PERMIT PUBLIC WORKDEPARTMENT D TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm �/k,fie 6=,4 S Phone No. 6�o a2 q-2 • -'2.ZS—2 Address of Firm //� 4124—s'A c /7t/GL /2/� �. k,-, Location of proposed work 2 i S r�S A✓'Y,9 ��v2 Ste_S 5/ 2,4 Describe fully nature of permit requested 7- �i2 ;e AAZ OL AQ O. 'v 7d fZNGGi4CE frAS SE�f//CJ� Starting date 4-7 15t X /9-P Approx.time for completion^ Call before you dig no. Traffic Services Control No. Show sketch of proposed_work or furnish To be filled out by Town of So. Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut 7-1,PIC,4 L X NS,E'RT Ao t w SERvtGE O G No.cuts Nov S E Amt.of Deposit$ by ()Cash()Check# II Cut size after Perm. Patch oc s INo.Cuts I' Final Billing $ Amt. Due Payee $ Amt.Due Town$ Applicant is responsible for contacting the Police Dept.and C.B.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: "/O j" Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES