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HomeMy WebLinkAboutCAble Street Cut Permits 16 Sunrise Lane Permit No. 2815 Town of South Windsor, CT Date 08/12/ 1999 r Street Excavation Permit Expiration Date 08/11/2000 Descrip: CATV REPLACEMENT Applicant Location Name COX COMMUNICATIONS ` Addr. 801 PARKER ST. O0i6 SUNR' SE LANE 06040 CT 06040 Type Qf Work CABLE Phone (860)512-5280 Applicant agrees to,;furf7. sh the 'i`owri; of S©uth '.W:inc sor the amount of bond required and to reimburse Faa � own. o� 8otuth � i�d�or for any expenses incurred by the Town f 'i r,epa r' 'wo`t k h connection with this permit and that app 1 r.ca�at fe ",famj l ar •i t`h and W i i 1 abide by the rules and regulations for permits as "cutl:li;n "id, t .: Town cif South Windsor's Street Cut Permit Manual . * * PERMIT TO B TC PT S"I"TE AT ALL TIMES. Oy t Issued by T i t 1`a Date Complete Inspected By t Aw APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Address of Phone No. Firm C'X rK cac er Location of proposed work f Describe fully nature of permit requested t1 a le M �w Starting date RM99 Approx.time for completion Call Before You Esig No. /9 k302©L 2- Traffic Services Control No. Show sketch of proposed work or fumish To be filled-out by Town of South Windsor two copies of separate drawing Pavement CG�t Indicate North Prop.size of cut lr NO.Cuts Amt.of Deposit$ b Y r O Cash O Check# Cut size after Perm. Patch Ur'r h r 3 e No. Cuts Pod 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: _ Date: Title: D.L.#• PERMIT SHALL BE KEPT ON 3OBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc