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HomeMy WebLinkAboutDriveway Street Cut Permits 314 Smith St Permit Not 2927 Town of South Windsor, CT Date * 103/20/2000 Street Excavation Permit Expiration Date 03/20/2001 Descrip: Applicant Location Name BOUTIN & SONS �03 � -StITN STREET Addr. 121 WINDSORVILLE R `, BROAD BROOK CT 060,i 6 � yp�s Ho C DRIVEWAY f Wb,,t Phone (860)623-2526 Applicant agrees to`m„ urn% th ;the r T0,Wn of ��t4-Wi ndsor the amount of bond required and to re i mt� rsee; Toyer 'of i ©uth `W i rtdor._ f o r any expenses incurred by the Town `for Maaf rstenanc® or';=tepai r- wdrk in connection with this permit and that app 1 int :1`s.°°famefar th and wi,1i de by the rules and regulations for permit. 0` *Ot1 fined % ti tfie T,own,,of- South Windsor's Street Cut Permit Manual . * * PERMIT TO B KEPT,,, CAN .l.0 ,SIT.E .A,T. ALL TIMES. Issued by - T i t.l e Date Complet d Inspected By Permit01' 2927 Town cf South Windsor, CT Date 03/20/200`0' Street Excavation Permit Expiration Date 03/20/2001 Descrip: Applicant Location Name BOUTIN & SONS 0314 SMITH STREET' Addr. 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 , Type of Work DRIVEWA`( Phone ( 860)623-2526 Applicant agrees to furnish she 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 tl--sat applicant i5 familiar with and wi 1 l abide ny the rules and regulations for perm.` ts as outlined in the Town of South Windsor ' s Street Cut Permit Manual . * PERMIT TO BE KEPT :ON JOB SITE AT ALL TIMES . Ssued by T i t I e . .—. Date Completed :inspected By _ APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH .WINDSOR PUBLIC WORKS DEPARTMENT- TOWN HALL 1S40 SULLIVAN AVENUE SOUTH WINDSORf CT FEE $25.00 . Name firm P o Addresss of firm Location of proposed work Describe fully nature of permit requested G . Starting date Cali Before You Dig No U Approx.time fof completion Traffic Services Control No. FShow sketch s proposed work or furnish To be trilled out by Town of South Windsor opies of separate drawing Pave-----merit e'�t Indicate North Prop.size of cut No.cuts Amt.of Deposit$ by {)Cash{)Check# Cut size after Perm. Patch No. Cuts Final Billing$ Amt. Due Payee$ Amt. Due Town$ Applicant is res risible for contacting b the Police De and C.B.Y.D, y date ' I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR,THEAMOUNT--OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSE'S INCURRED BY THE TOWN FOR MAINTENANCE OR.REPAIR WORK IN CONNECTION WITH THIS 'HE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY 1 TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: 6 Title; D.L.#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc