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HomeMy WebLinkAboutCAble Street Cut Permits 43 Saddleback D Permit No. 2777 ' Town of South Windsor, CT Date 07/26/1999 f; Street Excavation Permit Expiration Date 07/25/2000 Descrip; CABLE SERVICE Applicant Location Name COX COMMUNICATIONS ' QOifi, 'SADDLBACK DRIVE Addr. 801 PARKER ST. ' 06040 CT 06040 fiyeof, Work CABLE Phone (860)512-5000 Applicant agrees to fu�*n�sh; the¢ .Tow n: of South" Wirtdsor the amount of bond required and to re i mbui^3eTow -,of South 1 , - dsor ©r any expenses incurred by the Town f"qr t� '� tenanc .r�epai r ,W.4rk t� connection with this permit and that applicant°iS f Am x-1 e 1'� wr r i°th and -wi11 abide by the rules and regulations for permits ,a+x:0 #;tl'a d In,� h -Tq trt Qf auth Windsor's Street Cut Permit Manual . * * PERMIT TO BE KEPT..%C3N JQB .ST71= AT ALL TIMES. Issued by' T"itle -- - Date Comp i�t�d `��._�� — Inspected By APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm C Phone No. Address of Firm Location of proposed work Describe fully nature of permit requested Starting date 9 Approx.time for completion Call Before You Dig o. Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt.of Deposit$ by {)Cash{)Check# Cut size after Perm. Patch ----� No. Cuts Final Billing$ 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 WINDSORIS STREET CUT PERMIT MANUAL. Signed: Date: Title: D.L.#• PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permitdoc- i