HomeMy WebLinkAboutCAble Street Cut Permits 89 Saddleback D Permit No. 2918 Town of South Windsor, CT
Date 02/16/2000 Street Excavation Permit
Expiration Date 02/ 16/2001
Descrip: 89 , 97 , & 103 SADDLEBACK
Applicant Location
i
Name COX CQMMUNIGATIONS 0089� SADD�1�8ACK DRIVE
Addr, 801 PARKER ST .
06040 CT 06040Mork ('CABLE
Phone ( 401 )821-1919
Applicant agrees to` fur � ;ft.' the ,:Tt' 1 of S®�atM.;W -nd$or the amount of bond
required and to reimbur e he Town df uth Mfa so for any expenses
incurred by the Town fQ.r -aJ 6kne600. connection with this
permit and that app 1 i Cant : ;� �ar1a�� 1' w: ;aad w1 1 l: a'bi de by the rules and
regulations for perms as,b:cy ,, ,a(lec 1 he. . p 'o , 8puth Windsor ' s Street
Cut Permit Manual .
*( P RMIT TO BEl~PT ON. JbEi SITS AT'`'ALL TIMES. * m
Issued by — -- T��t 1
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Date Comp 1 e(te4 _ — --- —„-- Inspected By _ ---- _—
APPLICATION FOR STREET EXCAVATION .PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00.
Name of Firm �-C�Yv� �►'�IIIU(G
- Phone No.
Address of Firm VZO a-
Location of proposed work t
Describe fully nature of permit requested I s/- :2 i�-j gzt:!_
Starting date l Approx.time for completion a'n
Call Before You Dig No. 08C.tD Traffic Services Control No.�
Show sketch of proposed work or furnish To be filled_out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Ins!irate North prop.size of cut
,`7 No:cuts
\ t Amt.of Deposits- by
O Cash O Check#
Cut size after Perm. Patch
6 No. Cuts
C Final Billing$
A/, -A
p Amt. Due Town$
Applicant is responsible for contacti 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: C� C ��yr-e�-1{— Date: /Zg ��
Title: C.r/W 57/ C.0� D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forma\Permits\Street Excavation Permit.doc , -