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HomeMy WebLinkAboutCAble Street Cut Permits St. Marc Circle Permit' No. 3037 r Town of South Windsor, CT Dat 10/ 19/2000 g s , Street Excavation Permit Expiration Date 10/19/2001 Descrip: CATV LINE FROM POLE 5132 TO APTS Al-A4 ST MARC CIRCLE Applicant Location Name COX COMMUNICATIONS CHAPEL RQ ) ST MARC CIRCLE Addr. 801 PARKER ST. ~ 06040 CT 06040 � � ; ��' Wo,r* ;CABLE Phone (860)432-5211 ` Applicant agrees 0 ur rthe :*n 6, S`ut��'Windsor the amount of bond required and to reimbu s ,town f nth i 1,rld or«fpr any expenses incurred by the Town fo fgtenanoe epai' ~ w©:rk in connection with this permit and that app 1 fc--a-rlt �f r t and ,teal 1 abide by the rules and regulations for �' 9 permits°'�a5��"tl t`�►ed =gin ,of South Windsor' s Street Cut Permit Manual . ,' k * ERMIT TO 'EP ph(`r JC�B 51TE AT , ALL TIMES. Issued by T 1 46 Ir j)n Date Complet Inspected By TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3037 Contractor COX COMMUNICATIONS Location CHAPEL RD @ ST MARC CIRCLE Address 801 PARKER ST. Type Work CABLE MANCHESTER,CT 06040 CT 06040 Phone, No. (860)432-5211 r Date Insp Needed Time Insp NeededInsp. Inspected By Work in Progress r c Input Date s APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WIND SOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSO CT FEE Name of Firm N Phone No. Address of Firm. O - r Location of proposed work 3T. Irl AJ7 C Describe fully nature of permit requested Starting date !D IQ-Or`1 Approx.time for completion BA/,S Call Before You Dig No. tL Traffic Services Control No. Show sketch of proposed_work or furnish To be filled out by T_,own of South two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt.of Deposit$ by )Cash()Check#, Cut size after Perm. Patch No. Cuts Final Billing$ wt Amt. Due Town$_ Applicant is responsible for contacting by date the Police Dept. and C.B.Y.D. 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: �.n Date:�l.O�� 0� Title: , A.*Art D.L.#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation P-ermit.doc Ph: 888-344-7233 Fax781-7210047 DIG SAFE NUMBER 2000 E3 Y,,",',i; Ph: 800-9224455 DIG SAFE CLEARS ON /3 AT 7:00 AM +atractor#1167 Date ,Q_f /00 EMAI MUNICIPALITY S L ), n j Sc STREET ADDRESS & DESCRIPTION (Apartments&Condo's must list name of complex-Or list the �M number of feet from the cross st as well as N,E,S or W) -� / 1 Q c r C i t CROSS STREET C/jl��� � AREA MARKED ? YES WORK: Installing CAN Utilities Notified: C-l`f� 6rl\la, u� DEPTH: 2 (-,( P '^ l`Own t-L'hbitt)dsoA,A sG - M � �.. L �S a R