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HomeMy WebLinkAboutRepair broken water main Street Cut Perm (16) 800051 TOWN OF SOUTH WINDSOR, CT PY2MIT NUMBER STREET CUT PERMIT DATE: 04/28/08 N GIS ID: 18000415 3»;y.; FEE: 00 .:.,:. MUNIS APPLICATION# 200800543 .�tATION D .X<: �',�x'`,;«::�<.%`• ATE: 04/28/09 APPLICANT '���`' 10CATION NAME f:> :: METROPOLITAN DIfIT" ,. " 'T`5'>CH EL ROAD ADDRESS: 125 MAXIM ROAD '., . :Y1��IART�'MICHAEL J& HARTFORD CT 06114 ;A y:< 3 '<° kib9APL ROAD ' S4UTHh WIN DSOR,CT 06074 F... `. jh!•< PHONE s<; WORK DES CRIPTION:ION: REPAI: f>'s....�.^ate .A APPLICANT AGREES TO FURNISH THE T ,. *S(}fl_TFT`. u ��CL11v1( JT QF'B 1i1D RE UIRED AND TO REIMBURSE Q THE TOWN OF SOUTH WINDSOR FOR ANY YlR-XPF SE I.CT-i E�(3WI`��Ql�ibtA'INTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE L f1NT"IS°PA I TH ADD`>WIET ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED/�1 N THE TOWN OF S(3�I'1`I Q3 6SIt>,5ATRIjET� I:PI vIIT MANUAL. ISSUED BY bATE INSPECTED INSPECTED BY 4/28/20089:42AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: �00()ls ` CONTRACTOR: LOCATION: H I S TYPE OF WORK: Ve �La i DATE INSP NEEDED: DATE INSP: � G� INSPECTED BY: Lib , WORK IN PROGRESS: AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSECrION REPORT 07 i THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE; � BILL.JOB YES ❑ NO 0 WO# S lY t .22 '70 )DRESS `l IS k q P--e V TOWN 1; LI-) _STATE HIGHWAY YES❑ N0g i DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE iN M CROSS SECTION OF PAVEMENT _ STREET BIT.CONC. ❑ CONCRETE ❑ PREMIX 'S SIDEWALK_BIT. CONC. ❑ CONCRETE ❑ FLAG -� CURB BIT.CONC. ❑ CONCRETE ❑ STONE ❑ DRIVEWAY BIT. CONC_ 0 CONCRETE ❑ GRASS -[X, LOAM&SEED NEEDED YES❑ NOO�, REASON FOR CUT I ). ►A V L e- l� q NUMBER OF CUTS: I DATE OF FIRST CUT: Ll Z4--0 la _ IS JOB COMPLETED: jYE_$,@-IO `❑ rn- „ .� FOREMAN: �J'Tt/L I r� REPLAGEMtENT PAVEM NT CONTRACT O.: w U - BIT.CONC. ❑ CONCRETE ❑ PREMIX Cl DATE COMPLETED: ACCOUNT NUMBER: G� G9 CALCULATIONS m OF CUT LTEM ITEMS ITEM# 0 o Lc-; 1 PRESS HARD, 3 COPIES PAVING INS O(INHITE)NS UTILITY►HRE)ICES (y L OW p v. VJJ FAX METROPOLITAN DISTRICT COMMISSION OPERATIONS / SYSTEMS REPAIR TO: 1 (/I - FROM: baIPGG �Oe 14410 FAX 7290 PAGES: SSW/-)/ w v10 PHONE#: Mugl ©f �.�.�-��`sl�i.YGr-�ATE: ®q " l S COMMENTS: SYSTEMS REPAIR OFFICE 125 MAXIM RD, HARTFORD CT 06114 PHONE- (860) 278-7850/ ext. 3629 JOHN PAGANETi'I OR ext. 3615 JEFF REA FAX#(860) 550-7961 to 3 € � PIE MI-M �� imimp�cr ! a �- lz _ mi � 1gs 3 .r r•y s� Z fr _mot Y 7. fy 'zj 1 C Y v't x 44 �.. K Ono'.. �rr tL 3r�e,1 _� ._t„� ' �t � t+: x t-°: rk L +f 40 .M { .x ;.-a. 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