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HomeMy WebLinkAboutGas Street Cut Permits 557 Rye Street Permit Na. 2277 TOW) of South Windsor, CT Date 02/10/i997 Street Excavation Permit Expiration gate 02/ 10/ 1998 Descrip : Applicant Location Name YANKEE CAS 0'557 RYE STREET Addr . P.O. BOX 339 ENFIELD CT 06082 Type of work GAS Phone (860)292-2236 Applicant agrees to furnish the Tow n of S©uth Windsor the amount of bond required and to reimburse the Town of South Wthti ;or for any expenses incurred by the Town for riti i ntenane dr `repa 7 r wtr k ' r rr connection with this permit and that applicant 1;s faml i;ar. with and ►i3l. . bide by the rules and regu i at i ons for permits a$ outlined i n the Town of South lro' i rjasor' s Street Cut Permit Manual . * * PERMIT TO `BE KEFT ON Job SITS AT ALL TIMES. Issued by rite Date Completed Inspected By M APPLICATION FOR STREET EXCAVATION PERMIT `, PUBLIC WORKDEPARTMENT D TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm �/k 6=,4 S Phone No. (o a2 }-2 - Address of Firm //.Z zt-k-C- /7`/�L /2� C . 4/"'-Vzp x co 12 Location of proposed work S S r?il S Describe fully nature of permit requested Z XC,4 7-ff �0� 5 ;e .4-'ez_'W"9 OG 0. Lv Starting date '-"J--;t Approx.time for completion Call before you dig no. Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of So. Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut 71,PIC-4 L X N S,E RT iv' w S5R vtGC 7.1/lLo v C.-/f OL g No.cuts Amt.of Deposit$ by ()Cash O Check# (( Cut size after Perm. Patch I „ $ jrNo.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 1 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: Title: �+—/L�G✓� �/�6 - D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES