HomeMy WebLinkAboutElectric Street Cut Permits 166-180 Bayb 700181
PERMIT TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
or
DATE: 10/25/07 �;x » .....:.:... ..
GIS ID: 08109999 `
FEE: 25.00
MUNIS APPLICATION# 200701751 y E ?IRATION DATE:
10/24/08
AP
PLICANT LI CA NTj.
;? `°:LO CAT I ON
NAME: HENKELS&MCCOY <"> I7RESS >':°` tYB+ RRY TRAIL
ADDRESS: 985 JOLLY ROAD
:SC) TH WLNDSOR TOWN OF
BLUEBELL,,P Al 94 2 2 0<S' �iL
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WORK DES
CRIPTION: TREK. H<TCYi ..5< 3II.`. r'' x.><
LOCA 'EI $ E"
APPLICANT AGREES TO FURNISH THE 1'QWN OF SC UFH gMf?i7NI"kd 66N1 REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN .E P NSF III U MT-OWI�<�PQ I AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI i*t 1+06 WILL SIDE BY THE RULES AND REGULATIONS
FOR PERMITSS AS OUTLINED IN THE TOWN OF=S(UT TI I ? } ,E ; J1 p MANUAL.
ISSUED BY D :,T < :ECTE `..< INSPECTED BY
10/25/20072:22PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: -7 00 I CONTRACTOR: ( , �` c'
LOCATION:
TYPE OF WORK: n � ? �c I� S��{ h did 1ti�t - C (C)551 n�
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DATE INSP NEEDED: DATE INSP: ?q 0
INSPECTED BY: 'Z�17
WORK IN
PROGRESS:_
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AS-BUILT:
INPUT: U� DATE: J
W/2007 Town of South Windsor INPSECTION REPORT 07
COPP
Mrs Of"" st UtMtIft S*FV oe Company 2007 MAP VIEWER-OB Ma N0023501 p PNnted On:10i09u208T OS:SAAM
/ P Me Date:121I 2002
' CABLE DESTIH 'Y`IC1ll
h
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NOTE! FAULT IN DICAT-003 .ARE A
INSTALLATM ON OUT- ,01f
CABLES AND A-RE NOT SH(c
r co
(10
kD
01)
£i
s o 62 co
)p GREEN RIDGE 30VP
j jam` J o "( B�AY'BERRY TRL. HORIZON CIR.
MOHEGAN TRL. KRAWB-KI D-R.
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• •••' I L-nL.IRVHI IUN PERMIT
7 TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT PerDito./
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm_ e
Address of Firm () d eL Phone No. �d 98 3 qq
� ma
Location of proposed work `�
-�'revv� 60rn;e�-
� r-
Describe fully nature of permit requested
Starting date 6 q 10°
Call Before You Dig No. Approx time for comple ion_
Traffic Services Control No.
Show sketch of proposed work or famish
two copies of separate drawing , , ,ley, This section to hp rn
Indicate North Town of South'Windsor
t by
Pavement Cut
1� �1 No.cuts
Est*Size of Pe
rm.P
O VA
Est.PvL Thickness
in
Est.Unit Price$
Amt.of Deposit$ .
rrr Total Due by
( )Cash((i�Chedc#
` — Permanent Patch
�c TP No. Cuts
Size of Patch(s)
Final Billing
s $
v
w Amt.Due Payee
Amt.Due Town
Applicant is responsible for contacting
By
the Police bent and C.B.Y.D. Dat
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:
Date:
Title:
Drivers License#:
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES
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