HomeMy WebLinkAboutCAble Street Cut Permits Between 93 and Permit No. 2601 Town of South Windsor, CT
Date 02/17/1999 Street Excavation Permit
Expiration Date 02/17/2000
Descrip: INSTALL 8 ' GROUND ROD ,, INNERS RUN
Applicant W
� � "" Location
Name COX COMM UNICAT ION
S, r ` w
Add r. 801 PARKER ST. �� E�F &7 5
06040 CT 060405 £ 'yphe ;Wad irk CABLE
Phone (860)512-5000 t Lti
Applicant agreesi h � d h of
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required and to re t, "'Wla dsor the amount of bond
pie o &�uth° 1�tlsor H, for any expenses
incurred by the Towle ` , T ep in connection with this
Permit and that app f V abide by the rules and
regulations for per "
rriit t ' rofS
Cut Permit Manual . outh Windsor's Street
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* * PERMIT $4TET ALL TIMES.
Issued by
Date Completed Inspected By
T ago
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Finn CU?c COS �N Phone 5 z
Address of Firm U0, w,R k ea- c-( No. S n
Location of proposed work weie r► ru&l be,
Describe fully nature of permit requested,E 1 C3Fun0 1
Starting date Approx.time for completion
Call Before You Dig No.19I 060 n,65 Traffic Services Control No. -
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Emma cut
Indicate North Prop. size of cut
No.cuts
Amt.of Deposit$ by
()Cash()Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt. Due Payee$
Amt. Due Town$
Applicant is 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: r Date -'�—O/,_T
Title: A D.L.#:
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard FormsWermitAStreet Excavation Permit.doc r4