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HomeMy WebLinkAboutSanitary Main Street Cut Permits 35 Shar TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. � 3608 Cont..ra;d:t0r COVER::CONSTRUCTION CO. Location 0035 SHARON DRIVE Address P O ..ByX 42"7:::..Type Work SAN MAIN s" ..........CO V EN'I`RY .:CT 0 6 2:,3 8 Phony No ,C8�rA)2'82 0526" 3 Date Insp Needed - j - — Time Insp Needed Tim Txzs01 Inspected By — Work in Progress ��,��� K �f aim Permit No. 608 Town of South Windsor, CT Date 10 08 � / / 003 Street Excavation Permit Expiration Date 10/07/2004 Descrip: SUMMERWOOD SANITARY & WATER:M. Applicant Locat n Name COVEN CONSTRxTCTION CO bf 'S SHARON pRZ.VE Addr. P.O. BOX 427 COVENTRY CT 06238 ape Q .T©rk $A#3 MA: itIhT Phone (860)282-0526 ji Applicant agrees to the T:awn cif, ScsuCh WindSox :the amount of bond required and to reimbur^sh Ta3a r3:£ South T�iY�ls0r far a'riyj:sexpnses incurred by the Town Loi t0a43At4nan8'e or ' e'pai w�Y1 azz canri; ction with this permit and that applicerit is f:aFn l cas)la;:: x�d"Will ' bsde by th rules and regulations for permits as cutlinel fh the oazxt'of South Windsor's Street Cut Permit Manual. * * PERMIT Ti BE; klEpT 'P, A-4I4: TIMES. Issued by .1 ::e Date Completed Inspected B APPLICATION FOR STREET EXCAVATION PERMIT s1fe"'08 TOWN OF SOUTH WINDSOR Permit No. i PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 LF7$25.00 Name of Firm &u"-'--Vj ti Phone No. Ao CX o / Address of Firm Location of proposed work J Describe fully nature of permit requested Starting date_ / 0 J Approx. time for completion__ Call Before You Dig No._ 00 � j 0 1 rA F(Traffic Services Control No. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North0 Town of South Windsor Pavement Cut No.cuts ✓Hd Est.Size of Perm. Patch(s) Est. Pvt.Thickness in. Est. Unit Price$ Amt.of Deposit$ Total Due$ by ( )Cash( )Check# Permanent Patch No Cuts ----------- --- - - — Size of Patch(s) Final Billing Amt. Due Payee Amt. Due Town By Applicant is responsible for contacting Date i the Police Dept.and C.B.Y.D. I AGREE TO FURNI H TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH IN SOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THI PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS A OUTLI ED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: V u l Title: �.� Driver's Lice se#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES