HomeMy WebLinkAboutCAble Street Cut Permits 155 Skyline Dri Town of South Windsor , CT
P,erm'-t No. 2852 Street Excavation Permit
Date 09/01 / a999
Expiration Date 08/31 /2000
Descrip: CATV REPLACEMEtIT
a
Applicant
Name COX COMMUNICATIONS
0155 SKYLINE DRIVE
Addr . 801 PARKER ST . Type of Work CABLE
06040 CT 06040
Phone {.860)512-5280
agrees to furnish the Town of South 'Windsor the aof bond
expenses
required and to reimburse Applicant t � Town . of South any
incurred by the Town for mark in with i,nlenance orirepth �nd will abidenbyc the�}rules ands
Street
permit and that applicant. is f amllzar w
regulations for permits as outlined in the Town of South Windsor ' s
Cut Permit Manual .
* * PERMIT TO BE KEPT ON J08 SITE AT ALL TIMES .
Title
Issued by �- — `' --- --- _
Inspected 3:v _----__—.------
Date Completed —
d�Ss2
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
_ SOUTH WINDSORf CT
FEE $25.00 -
Name of Firm Phone,No. 61
Address of Firm
Location of proposed work —
Describe fully nature of permit requested
Starting date —3•- Approx time for completion o v
Call Before v.... n._ w._ /!`v�.G1�i per,...,.
Call Belo G:You big No. C .2 C.F.s92 _ .Traffic services control No. - -
FIndicattel
ketch of proposed work or furnish To be filled out by own of South Windsor
ies of separate drawing
. Pavement �
,North Prop.size of cut
r _ No.cuts
WO
15—j Amt.of Deposit$ b
O Cash{)Check#
Cut size after Perm. Patch
No. Cuts
Final Billing
Amt. Due Payee$
m . ue _.own$
Applicant is responsible for contacting 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•. Date:
Title:
PERMIT SHALL BE KEPT ON 30BsrrE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permitdoc
t