HomeMy WebLinkAboutMultiple ug telephone line splice on st/ 800008 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 02/14/08 .,,:H
GIS ID: 88809999 " aM
FEE: 25.00
MUNIS APPLICATION# 200800146
EX.IRATION DATE: 02/13/09
APPLICANT:
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NAME: CABLE CONSTRUCTION 0 .: ADDDRES >ri:`` . YCIORE ROAD
ADDRESS: 405-D NEW STATE
OF`SOUTH WINDSOR
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MANCHESTE C ti:'::''
R, T O iO 40 StmIjlVAN AVE
HW7�77-�ll`NLS OR C T 060
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PHONE 86064- -
217 :9 8
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WOR
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CRIPTION:
PTIO N: MULT'<.I�'IE" *
CIS' �%�:
R
5�,. ,�.„, F�': „, �.SPLfE LOCATIONS ON ST
SHALL( fV#JTZON.(lF. P a BE n.RKED AND COVERED
APPLICANT AGREES TO FURNISH THE TOWN
QF< .(S J 1 •. I1IpT I vcJF-WND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC-EX&FIBS .IN 'OWNF'(�,�,,.MAI'NTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI`::A]0T 1"J-CA3? 1"f ''Ftk ITI NI).�i�I��,,AIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O <SLI2 WT1D ;.$, REST CUT;:,PERtT 1VIANUAL.
ISSUED BY DA`I E 4PE3 INSPECTED BY
2/14/2008 10:41 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.-.—ad 0 0% CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED:
DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: a
AS-BUILT:
INPUT: DA TE.
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W/2007 Town of South 1MndSor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION:PERMIT o
TOWN OF SOUTH WINDSOR rm d-.
PUBLIC WORKS DEPARTMENT Permit No.
oZOG f Ov/1/6 TOWN HALL
/ 1540 SULLIVAN AVENUE
`.SOUTH WINOSOR,GT 06074
FEE:$25.00
Name of Firm _ fj
Address of Firm S Phone No. O / �"
Location of proposed work
Describe fully nature of permittequested
Starting date j l . 0$
Call Before You Dig No 1.S'7CS '�OX time for completion
Traffic Services Control No.
ShowsM"ofproposed work,orftamish
tw+o copies of separate drawtrg IndWe North i-S , onto be f�oed m
Townth'YYindsor
Pavement Cut
No.cuts -sellAr 4
Est.'Size O rm.Patd(s}
Est.Pvt.Thidmess
Est,-Unit Price$
0
ML of Deposit$
l Total Due$j � bl/
( '}Cash(vl 6"#
Permanent Patch
No. Cuts.
Size of paws}
Final Billing
Amt,Due Payee
Al Due Town
By, .
Applicant is responsible for contacting
.4the Police De-t.and C.B.Y.D. Date -
1 AGREE.TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED ANp TO REIMBURSE THE
TOWN OF SOUTH WINDSOR-FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK.IN
CONNECTION WI THIS P O THAT I:AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMIT$ INE I N OF SOUTH WINOSOR'S STREET CUT PER IT NUAL.
i
Date.
__'TiOe _ ,
Driver's License#.
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES.