HomeMy WebLinkAboutDriveway Street Cut Permits 280 Strong R TOWN OF SOUTH WINDSOR INSPECTION REPORT
PBrmit No. 3977 Con,,:,
'E or QUAL�"T"i«:x�.AVING CO.
Location 0280 STRONG ROAD ;At d ' ?reg 194 s. .FM3 IN"::S,TREET
Type Work DRIVEWAY OR CT.. 06088
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Permit No. 3977 Town of South Windsor, CT
Date 05/13/2005 Street Excavation Permit
r Expiration Date 05/13/2006 y
Applicant s '''� �. I.:rac =tion
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Name QUALITY PAVING CO M u €9 $`G2pI�G R(1FfD
Addr. 194 S. MAIN STRI:t "' ' .
EAST WINDSOR C;T 060$$ s £ �T! sf Wox.-e D9TVEWAY
Phone (860)523-4182
Applicant agreed tip $u 5k� he f mta� .'d th Wi thskamount of bond
required and to reimburse the.�Iown of oAt -', Udsor `s RY any expenses
incurred by the ToiunRfor Yn e x?d i e' , rk C=.neftibn with this
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permit and that ap lica2� ..is amY w a � "l dQ ley ule rules and
regulations for perThiati ts > ned. k9beW� SbytxCl� Wti'ids is Street
Cut Permit Manual. gyp"
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PERMIT' O'"BF.KE O`iJ'
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Issued by __ Title , _
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Date Completed _--__—__�-- 7 ;In �?stecl�By`__---_--�
�,..��+.rH11JU PERMIT::
TOWN OF SOUTH WINDSOR -77
PUBLIC WORKS DEPARTMENT
Permit No:
TOWN HALL
1540 SULLIVAN-AVENUE
SOUTH WINDSOR, CT 06074 -
'Name of Firm FEE $25.00. Cb
Address of Firm phone No.
Location of proposed work
0 of
Describe fully nature of Permit;re nested
W -0
Starting date
Call Before You Dig No. Approx. time for completion —
Traffic Services Control
Show sketch of proposed work or fumish
two copies of separate drawing
Indicate North This section to be filled out b
Town of South Windsor
Pavement Cut
No.cuts
Est-Size of Perm.Patch(s)
I Est.Pvt.Thickness
(O __in.
Est..Unit Price$
Amt.of Deposit$
Total Due$
by
( )Cash( )Check#
Permanent Patch .
No. Cuts
Size of Patch(s)
$Final BittingArn .
t.Due Payee
Amt.Due Town
.� $
Applicant is responsible for contacting By
the Police De t.and C.B.Y.D.
Date
AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY
CONNECTION WITH THIS PER AND THAT i AM FAMILIAR INCURRED
OF BOND REQUIRED AND TO REIMBURSE THE
PERMITS AS OUTL THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
ED IN THE.TOWN OF SOUTH WINDSOR'S STREET-CUT PERMIT MANUAL,
HAND WILL ABIDE 8Y THE RULES AND REGULATIONS FOR
Signed: /_
Title:
Date: �D — 15
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Driver's License#:c--�)3