HomeMy WebLinkAboutWater Street Cut Permits 106 Scott Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No 4169 Contactor .CPN,INECTICUT WATER COMPANY
Location �L y4'
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1�ddress 25 NOATH R4P�J
Type Work WATER e.
EaaS:T.,,,,,WIND.SO:R ..CP:::::,06088
:.Pho�s 'No b) 92=55571
Date Insp Needed Date I�ts �
Time Insp Needed fire
————————— 1..
Inspected By
Work in Progress
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Permit No. 4169 Town of South Windsor, CT
Date 03/28/2006 "" Street Excavation Permit
Expiration Date 03/28/2007
Descri : REPAIR WATER SHUT.: O. F
P k;
Applicant L"ocati.on
Name CONNECT ICUT WA :Ad dr. 25
NORTH ROAD
EAST W DSO IN R
<T
G •06
Phone (860)292-5552 ,
Applicant agrees'"to fus:n n €� ,Sout s h Windor the .mount of bond
required and to re•;imbur9,e:4 t#�e Tawn of ;;South ,Wnd ;gr fir.'any expenses
incurred by the Tocan for <maint pan woes• In. Conne'Ction with this
permit and that applicant .as f tni} a :wlC ,aa�d wi;l abide; by the rules and
regulations for perm"its as out. i C3� ,Tow1� of Soutkz Windsor's Street
Cut Permit Manual.
* * PERMIT TO'::::BE :KE PIT'>OI7>:e7fQ8.,:`:,;"S:I:IE""AT,:ALL:::>'TIFRES.
I n
ssued b VTitle
Date Completed Inspected By
r jr MAR. 27, 2006 5: 02PM" "CONNECTICUT WATER CO—— -� ` NO. 998 P. 4
APPLICATION t:OR STREET EXCAVATION. PERMIT J
TOWN OF SOUTH WINDSOR
Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL,
1540 SULLIVAN AVENUE
,SOUTH WINDSOR,CT 06074
FEE $25,00
tame of Finn to. Phone No. 6Z. -• 3s5"
Address of
Location of proposed wo
Describe Mly nature of permit requested A�YeLV, � ,7 YQ a cd .5,1wr~ -6,0*-.
Starting date � 3% lo 6 Approx,time for completron / wgoM
Call Before You Dig No Traffic Services Control No.
Show skeM of proposed mrk or furnish This section to Ia foted cut b tm oop'ies ofsepwate dramfirig Indicate North 7'owr7-of Sorb Windsor
0 Pavement Cut
No.cuts
Est'Size of Petm.Pouts)
• SfaJ�It'ALIL Est Pvt ThIftess in.
Est.Unit Price$
Anti or Deposit S
Total Due$ by
)Cash( ) g
A2 O� pennanent Patch .
GXC vwz/all/ No. Cuts
/VAx-M n3 &f, Size of Paws)
LOAY)lgb -PSra1tD
Final Bing
Amt.Due Payee
AML Due Town
/ L4iicant is-reWnsMe.for contartin
e Police Papt.and C,$Y.D. I Date
I AGREE TO FURNISH TO 11il: 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 PERM AND THAT I AM FAMILIAR WMq AND WILL ABIDE 13Y THE RULES AND REGULATIONS FOR
PERMITS A U INED IN T N OF SOUTH WINDSOWS STREET CUT PERMIT MANUAL.
Signed- Date: c
Idle c Ddvar's License tt g:;,W533309 8
PERIM SHALL BE KEPT ON dOSSM AT ALL TIMES