HomeMy WebLinkAboutGas Street Cut Permits Slater Street A TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3315 Contractor YANKEE GAS
Location Address 112 PROSPECT HILL RD
Type Work GAS E. WINDSOR CT 06088
No. (860 )292-2242
Dat
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Time I nsp Needed gk,
Inspected By AA
Work in Progress
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Permit Nc*-_., ► 3315
Town of South Windsor, CT
Date 06/10/2002 Street Excavation Permit
Expiration Date 06/10/2003
Descrip: MAIN FORM DEMING HILL TO OAKLAND
Applicant Location
Name YANKEE GAS S
Addr. 112 PROSPECT HILL
E. WINDSOR CT 0608 GAS
Phone (860)292-2242
Applicant agrees h id or the amount of bond
required and to reim u o th r any expenses
incurred by the Town e a pai i connection with this
permit and that appli f an ide by the rules and
regulations for permi f uth Windsor's Street
Cut Permit Manual .
Y y t
* * PERMIT T K LL TIMES.
Issued by �� t
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORF CT
FEE $25.00
Name of Firm f?rt/A _ A
-_ �?�S -� Phone No. ;tZ,a 1
Address of Firm /Z / pro p //
Location of proposed work DE nv1
Describe fully nature of permit requested `,vG ,%l7AP//V F2a� 6 y�r viy
Starting date o Z Appmx Um for oomo ia� -
Cail Before You Dig No. Traffic Services Control.No.
Show sketch of proposed work or furnishTo iae flN but by Town of Soy_ Windsor
two copies of separate drawing
Indicate North Prop.size of cut
V) � sv No.QJfS
Anrt.of Deposit by
oAKlw.dD S l- �r 3� Cub Cho*�
CAPr4t:.l ypp - Cut size,after Perm.Pater
No. Cuts _
Final Bluing$ �.
Amt.Due Payee$...�._
Amt.Due Town,.... .._
Applicant is responslb ei for contacting by
the Police Npt 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 A5 OUTLINED IN THE
TOWN OF SOUTH WINDSORS STREET CUT PERMIT MANUAL.
Signed: Dam: wNL IO ZD
Title:gya�y�o.�.5 D.L#•
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PERMIT SHALL BE KEPT ON.3OBSITE AT ALL,TIMES
Standard FormskPermitAStreet Excavation Permitdx
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