HomeMy WebLinkAboutDriveway Street Cut Permits 236 Smith St Permit No. 3031 Town of South Windsor, CT
Date 09/22/2000 Street Excavation Permit
01- `
Expiration Date 09/22/2001
Descrip:
Applicant Location
Name JAMES D. ACETO & SON .I`NC'. �' t20 SIITM. STREET
Addr . 70 SUNNY VIEW DRIVE,
VERNON CT 06066ofr Wcrk DRIVEWAY
Phone (860)871-0889
Applicant agrees Ah�' � ��� St)dth 1��,ndsor the amount', of bond
required and to reimbu s t +� ov uth �► " 4 r...wfor any expenses
incurred by the Town fir ' a�� en c reps brk� in connection with this
permit and that applcariz „�fama- , W andalf abide by the rules and
regulations for permits saspf.,South Windsor's Street
Cut Permit Manual .
771 .
* * PERMIT To gg A PT , �1 AT',A"LL TIMES.
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Issued by �. '(E ►� is
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Date Completed -�"�fnspected By
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APPLICATION FOR STREET
REET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
_ FEE $2S.00
Name of Firm J -g AGE •-,s
Address of Firm `16 pnl�t U!� OM �' Phone No. p81
Location of proposed work Z 3 S M r 7i,t S ��o��
Describe fully nature of permit requested M w oaivQuv
AP2orJ
Starting date
Call Before You Dig No. 2 3qp 3��6 Approx.time for completion 2 DA s
Traffic Services Control No.
Show sketch of proposed work or famish
two copies of separate drawing To be fI ed.out b Town of South Windsor
Indicate North Pavemen_ t cg
Prop.size of cut
No.cuts
1-to�s t
IZ� G Amt.of Deposit$ by
�J A
Cash O Check#
57M 1 TW s r Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt. Due Payee$
$
Applicant is responsible for contacting Amt. Due Town
the Police De t. and C.B.Y.D. by
date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED
SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONSAND TO REIMBURSE THE TOWN OF
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. FOR PERMITS AS OUTLINED IN THE
WORK IN CONNECTION WITH THIS .
Signed:
Date: 2 z�pJ
T' le:
PERMIT SHALL BE KEPT ON]OBSYTE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc