HomeMy WebLinkAboutDriveway Street Cut Permits 49 Spruce La TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3301 Contractor E .C. PAVING
Location o49• SPRUCE LA Address 139 WETHERELL ST
Type Work DRIVEWAY MANCHESTER CT 06040
No. (860 )647-9834
Date Insp Needed s 7 4 Oa
4
Time Insp Needed �` '
AM
Inspected By
Work in Progress
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P !tANo. 3301
Date' 05/29/2002 Town of South Windsor, CT
Expiration Date 05/29/2003 Street Excavation Permit
Descrip:
Applicant
� Location
Name E.C. PAVINQ :
Addr. 139 WETHERELL ST ��ell
R LANE
MANCHESTER CT 0604
Phone (860)647-9
34 fir• _ DRIVEWAY
Applicant agrees '� h ,
required and to reim u o ; *1d or the amount of bond
incurred by the Town th r any expenses
Permit and that applicy f1 an pa k i connection with this
regulations for permi " 1 an ide by the rules and
Cut Permit Manual . f uth Windsor's Street
,d
* * PERMIT T K T� LL TIME
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S.
Issued by
Date Completed i
Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1S40 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $2S.00
Name of Firm Phone No. 2 SD 4 S
Address of Firm__ M�.vac e� r L�
Location of proposed work
Describe fully nature of permit requested P o o l A, 0,1
Starting date 3v..e iT- 2ac�
Calf Before You Dig No. a o >.d D S?�Y� Approx.time for completion � S
Traffic Services Control No.
Show sketch ofproposed work or furnish
s
two copies of separate drawing To be filled out by Town of South Windsor
Indicate North Pavement g
Prop.size of cut
No.cuts
i+b�s Amt. of Deposit$ by
OCash O Check#
+ Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt. Due Payee$
Amt.Due Town$
Applicant is responsible for contacting by -
the Police De t. and C.B.Y.D. date
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: - C— �
Date: S - -Z-`t— 0 Z-
Title:
D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc