HomeMy WebLinkAboutWater Street Cut Permits 126 Steep Road Permit No. 2273. Town of South Windsor, CT
Date 02/03/1997 Street Excavation Permit
Expiration Date 02/03/1998
Descrip: BROKEN WATER MAIN :r
Applicant Location
F o
Name CONNECTICUT WATER CQt f� Y � �� � '` .J
Addr. 25 NORTH ROAD � i26,,; S >E IAD
EAST WINDSOR CT 0686 ^
o f W0'rk, WATER
Phone (860)292-5552 :
Applicant agrees t4 furr zs�a °th,� T,o t1 +kf r the amount of bond
required and to reimbi�r e�� ovn f t h W' ri A- 'fOr any expenses
incurred by the Town qr 1 air W,�rk�win connection with this
permit and that app 1 i cs�antai� t wP«afi de by the rules and
regulations for perms t .,, -c } } �i �'f . ath Windsor's Street
Cut Permit Manual .
* * PERMIT TO
� 'aT ;AXLL TIMES
Issued by�'"�� lae J
Date Completed __ 3 q _ Inspected By G �l5r�Q7
Permit No. 2273* fawn of South Windsor , CT
Date 02j03j � 997 Street Excavation Permit
Expiration Date 02/03/1998
Descrip: BROKEN WAI ER MAIN'
App I icant Location
Name CONNECIICUT WATER COMPANY Uifi S:flrEl�. t?OAIa
Addr. 25 NORTH ROAD
EAST WINDSOR CT 060--s6 Type of-word, WATER
Phone (6601)292-5552
Applicant agrees to furnish the "Towr1, of South Windsor the amount of bond
required and to re i mbur e t
he ?'awn of South Windsor for any expenses
incurred by the Fown for maititenar7Ce or repair work in connection with this
permit and that applicant is 'familiar with 'and Wi-11 abide by the ruies and
regulations for permits as out tied in the Town of South Windsor ' s Street
Cut Permit Manual .
* * PERMIT TO BE, KEPT` Ok �Jbj§ SIT'F AT 'ALL TIMES. �
Issued by
J _ o
Date Completed Inspected 13y ��`��Q7
��-Q� 2-�i`Ci-
APPLICA'I=ION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm Phone No. 0T yo�-15'56'p�
Address of Firm
Location of proposed work ! /o Q }� / 0 ocey .
Describe fully nature of permit requested
Starting date o7 Approx.time for completion
Call before you di6 no. Q 71)[,('e)0// Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North rah ix IvL Prop.size of cut 7t7-7' 7X$
✓�y l� +Z No.cuts
Amt.of Deposit$ ~/by
()Cash()Check#I
Cut size after Perm. Patch
No.Cuts
Q Final Billing 8
Amt. Due Payee $
Amt.Due Town$
Applicant is responsible for contacting
the Police Dept.and C.B.Y.D. by date
1 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 /l /�� p�c=�yr`r-r s1 Date: `1 /
Title: D.L.S
PERMIT SHALL BE KEPT ON J08SITE AT ALL TIMES