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HomeMy WebLinkAboutDriveway Street Cut Permits 219 Scott Dr V Permi 'Ntly, 3092 �� S 6 Town of South Windsor, CT Date 04/23/2001 Street Excavation Permit Expiration Date 04/23/2002 Descrip: Applicant Location Name BOUTIN & SONS Addr. 121 WINDSORVILLE RAO BROAD BROOK CT 06916 Type "©f Work pRIVEWAY Phone (860 )623-2526 f Applicant agrees i a .fu tp,�J ' t �'�qwt <of S ou thi'�",,Windsor the amount of bond required and to reimbulr ® tti Town 6i' 0�,�^th Wit,deor for any expenses incurred by the Town for ��r�t t c+ Or%'repair Work-i h connection with this permit and that appl rant fam �#ar• Sri' t.°end w11 1 abide by the rules and regulations for permi s a >roiutl-t"d .in th0 "10W6 'of South Windsor 's Street Cut Permit Manual . * * �ER MIT TO KEPT. ON -J08` �SIT�E 'AT ALL TIMES. Issued by , Title -722� Date Comp7e t 3 d _ Inspected Bye ' APPLICATION FOR STREET EXCAVATION PERM TOWN OF SOUTH-WINDSOR PUBLIC WORKS DEPARTMENT-- TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $2500 - Name of Firm ^ Pho Address of Firm �!- Y Location of proposed work ^l Scott Drive Describe fuitY nature of permit requested Strip -existing driveway ess wit process gavel .then pave Starting date Approx.time for completion Call Before You Dig No. 2.0011_60266Q Traffic Services Control No. Show sketch of proposed work or furnish To be fiile outh Windsor two copies of separate drawing Pave—,ment C� Indicate Noah S , Prop.size of cut 3 i No.cuts l P Amt.of Deposit$ by t) Cash Cheek# Cut size after Perm. Patch No. Cuts Final Billing.$ Amt. Due Town$ Applicant is responsible for contacting Sf�� 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 WINDSOWS STREET CUT PERMIT MANUAL. 4/19/01 . Signed: Date: Title: Secretary D.L.#• PERMfT SHALL BE KEPT ON JOBSITE AT ALL 7IME5 Standard Forms\Permits\Street Excavation Permit:doc