Loading...
HomeMy WebLinkAboutReplace broken water vale Street Cut Per 800001 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 01/02/08 GIS ID: 81600130 FEE: .00 MUNIS APPLICATION# 200800003 r'i,i ;l. '-0 m 'E 'RATION DATE: 01/01/09 APPLICANLOCATION ia. NAME: CONNECTICUT WATP OLIP' '>' " -.v` . .. A11 — fi:. :<. :. ItE� ;D<;SCOTT DRIVE ADDRESS: 25 NORTH ROAD N i'MEGORY S &MELISSA M EAST WINDSOR CT 1060 88 4�'' COT1�D•� RIVE f UT "WINDSOR CT 06074 PHONE —860 623— 335 5 r is f'f WOR K DES CRIPTION: N: REP �� N "Z; �'V',,�.,,V"9'I'� Q � O� COTT DRIVE APPLICANT AGREES TO FURNISH THE TOWIFITH I� '1��iMO�Jh1 Q l"Z7ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY TNCURP Y.:` F1pWN FOR Iv�r1INTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AT P-ftC-4NT ISi. .1V�I xAI�„VUF.? AND VV L L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S JTIxVDSR..'.5RE1 T IITIA+TrT MANUAL. ISSUED BY JDATE INSPECTED INSPECTED BY 1/2/2008 3:02 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** n� Y� 5rx , yx Ei.i may:�;i3 ?3i.. ok : `yf y : ; • A. : s j >:;� :;:cep• :.X..':.il'' is ; :✓.. ax . TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: oocc i CONTRACTOR: C (,kJ C, LOCATION: SCD 14 �� \ TYPE OF WORK: f) f\n�p a- Ja DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: W 1" h n pl �J r'1 y • I� Z AS-BUILT: INPUT: (�,Ylk DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 Dec, 26, 2007 12, 32PM 1""u uO,4..L No. 6749 P. 1wJ01LUU4 Post-It®Fax Note 7671 nat jig ► . FCo./Dept. Fran ZEET EXCAVATION PERMIT (D©© C co, 'SOUTHWINDSOR Phone# 3 ARKS DEPARTMENT Permit No. Fax# OWN HALL TLLIVAN AVAVENU9 /INRSOR,CT 06074 FEE $25.OQ 'Name of Firm Orl/teerrevr 4e4rm Co, Address of Firm zS N Phone No. Location of proposed Work /,To SCO Describe fully nature of permit requeaw. h/4f-4c ZIAtive /is► 9/.lA= D o s b ���A do- Starting date &6 ZOO ' Call Before You pig No. APPrOX'time for complego pi4 _Traffic Services control No Show sketch of PrOPosed work or fumisil two COP"of separate drawfrig Ind Cate NCr1lt 7'hf� cn to be fdfed e� h� Yarvn of--so EA Pavement Gat • No,cuts Ed:siae of Perm.Pajigs) .S Est.PYL Thies l*t,Unit Price$ �Q p ArnLofoe Total Due$ b ( )Cash( )Check# L f L Pernwwt Patch . No. Cuts Sure of Patd�s). r Amt.Due Payee Amt.Duo Town By is'* fe for conhacbn the ice De L and C.I.3.Y.0. t AGREE TO WINDSOR FOR ANY FURNISHTHE TOWN OF SaUTH S TOWN OF SOUTH WI WINDSOR THE AMOUNT OF BOND.REQUIRED AND TO REIMBURSE THE CONN>±CTION W1TH THIS PERMIT AND THAT EXPENSE EAM SFA INCURRI,p BY THE TOWN FOR MAINTSNANCE OR REPAIR WORK IN MILIAR WITH AND WILLASIDE BY THE RULES AND REGULATIONS FOl2 Signed- CUT PERMIT MANUAL. • - Date• �� �aG p'• Title- e�tde' Driver's License : PERMIT SHALL BE KFpT ON jOSSrM AT ALL TIMES