HomeMy WebLinkAboutElectric Street Cut Permits 460 Strong R TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3136 Contractor CL&P
Location , �� +�� Address 48 TOLLAND STAGE RD 1
Type Work ELECTRfC TOLLAND CT 06084
Fh'one, No. (860)871-3443
Date Insp Needed Dae Insp. ��
Time Insp Needed � i:m� Insp'
Inspected By �` !
Work in Progress
In ut /'" Dated'
Permit No. 3136 - Town of South Windsor, CT
Date, ,, _: 06/15/2001 Street Excavation Permit
Expiration Date 06/15/2002 {�
Descrip: ELEC,TEL ,CABLE
Applicant Location
Name CL&P ,0464 STRONG ROAD
Addr. 48 TOLLAND STAGE RD
TOLLAND CT 06084 ; ',Type of Work ELECTRIC
Phone (860 )871-3443
Applicant agrees to furnis'h, the:iTo0tn-of. South-Vi.ndsor the amount of bond
required and to reimbwrse the ?own °of South Windsor for any expenses
incurred by the Town for m ntenartce ,t�z ; repair; work in connection with this
permit and that applicant `is -familar ; with and will abide by the rules and
regulations for permits as outiAnd in`",,the Town of South Windsor' s Street
Cut Permit Manual .
* * PERMIT TO :BE KEPT ON JOB SITE AT' ALL TIMES. * �
Issued by -•-= T i t l e --zs
X-
Date Completed !?Z�/ D1 i_ I nsp 11 ected By
3 � 3b
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm Phone No. (Q90-,:F71-.3yy2_
Address of Firm V2 e.7—
Location of proposed work YG o �r2o.yr�- 2a
Describe fully nature of permit requested Gu T X---'orw AM re— Pe-
Starting date / P zao Approx.time for completion v
Cali Before You Dig o. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
ent Cut
Indicate N rth Prop.size of cut
No.cuts
Aft of Deposit$ by
AP
12v� ()Cash()chedc#
Cut size after Perm. Patch
o 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 WINDSORIS STREET CUT PERMIT MANUAL
Signed: za Dater/
Title: D.L#: UG Z® y3 91 f
PERMIT SHALL BE KEPT ON 3OBSITE AT ALL TIMES
Standard Forrns\Permits\Street Excavation Permitdoc