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HomeMy WebLinkAboutSewer tap Street Cut Permits 299 Strong (2) Permit No. 2990 Date 07/10/2000 Town of South Windsor, CT Street Excavation Permit Expiration Date 07/10/2001 Descrip: Applicant Location Name CARON COLLISION, DBA ` Addr. CARON PAVINQ CONSTR. . 10 :STRONG. ROAD EAST HARTFORD CT O ' 1d8 " Phone (860)297-1840 � _ Tyke t f..,W©r: :+DRIVEWAY tF d Applicant agrees to fua� ish thQ T of both `Windsor the amount of bond required and to reimk u er the "T y�uth f. for for any expenses incurred by the Town for en , � o repa i r;," rot in connection with this permit and that appl rant ° f� „p . regulations for ` "w1 "abide by the rules and permi b in 'the`' Owr° of South Windsor's Street Cut Permit Manual . * * PER IT TOAo - T1.T QN J , St;T� AT i4L IMES. Issued by t le C nspected By Dato Comp 1 et fd I �►�iD APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSORF CT FEE $25.00 Name of Firm C�s�o�" �K-V-%-n _ Address of Firm \ �� Phone No. �( Location of proposed work v Describe fully nature of permit requested .A z, 1a..I.E. I611�. �•iq Starting date 0 Call Before You Dig No' vaS no Approx.time for completion cL�z �.��V s Traffic Services Control No. Show sketch of proposed work or famish To be filled out b Tow of uth Wind two copies of separate drawing y n Windsor Indicate North Pavement Cu Prop,size of cut No.cuts L,�yy�1 G�a �gf� Amt.of Deposit$ by O Cash 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 T T N OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. HE Signed: I ) ,Q Date: Title: t G PERMIT SHALL BE KEPT ON 306SITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc