HomeMy WebLinkAboutRepair water service Street Cut Permits (4) 700201 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 12/10/07 :y<
GIS ID: 72900097
FEE: .00
MUNIS APPLICATION# 200701994
:y.w ,�L^ ,;,; FX�RATION DATE: 12/09/08
APPLICANT=
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NAME: METROPOLITAN DISTRICT
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7;:Ay EAST NT VALLEY ROAD
ADDRESS: 125 MAXIM ROAD ,
E "IAK';t3 NEW YORK TRUSTEE
HARTFORD CT 0611 ; ii:i., , PL
I_ ORPQRATE DR
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75024
PHONE
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WORK DESCRIPTION: REPArR
APPLICANT AGREES TO FURNISH
THE TOWN,'.„ {3LTHfV3 'J '. 1t?IO LJI `OF:BCfiNI)RE UIRED k , ..,,„ Q AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYIfiISES:>. T1tIH %.yl I iV F(jjyI�11NTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AP.PITC�NtwIS,,: IbTY:RkI ANp' TL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SO[JTH I NDSR` " I12) 1 QL F R1 I I MANUAL.
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ISSUED BY DA..: .. IIv " ECTED INSPECTED BY
12/10/20073:26PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 7c)o, CONTRACTOR:
LOCATION: -7 01� /jam
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TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 2 0
INSPECTED BY: o b
WORK IN
PROGRESS:
AS-BUILT:
INPUT: �,_
DATE:_
W/2007 Town of South Windsor INPSECTION REPORT 07
v V. IV. LVVI / . V/iii.i ..ivv Div ..i. v i.." i.•i• i.v. I / I L
APPLICATION FOR STREET EXCAVATION,PERMIT
TOWN OF SOUTH WINDSOR --.�—
PUBLIC WORKS DEPARTMENT Permit No,
TOWN HALL
1540 SULLIVAN AVENUI=
SOUTH 11 10SOR, CT 06074
' FEE $26.60
Tame of Firm - Phone No.
Address of Firm �- *47
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Location of proposed work
Describe fully nature of permit requested �, x
h ,ram
. Starting date ' •- � Approx.time for completion '
Call Before You Dig No.and` �iQ,p a a 1 Traffic Services Control No.
Show sketch of proposed work or fiAMM
two copies of separate drawing indicate Norlfi This on be filled of b
- � (;7 Town of So 1i1N1 dsor
I W 6 Pavement Cut
No.cuts
&t•S1ze of Pena.Patch(s)
Est PVL Thidmess In.
Est.Unit Price 3 _
Arnt of Deposit$ .
Total Due$ by
FL-mment Patch
No. Guts — t
Size of Puws)
Final Bilking
Amt Due P2iyee
Amt Due Town
By
Appff'
is rest
rvsUle for contactin
the Po ice D t and C.B_Y.D.
AGREE 70 FURNISH To THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED ANb To REIMBURSE THE
TOWN of SOUTH WINDSOR FOR ANY EXPENSES INCURRED t3Y THE TOWN FOR "NTENANCE OR REPAIR WORK IN
CONNECTION W"THIS PERMIT AND THAT I AM FAMILIAR WITH AND W, ABIDEB�'THE RULES AND REGULr�TtoNS t=OR
PERMITS AS OUTLIN IN THE TOWN OF SOUTF$WINDSOR!S STREET OUT PERMIT
ABlD T MANUAL. s
Trr--
Ddyer s License#.
PERMIT SHALL BE KEPT ON JOBSITE AT AI t TIMES f