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HomeMy WebLinkAboutCAble Street Cut Permits Talbot Lane ' w TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3239 Contractor COX COMMUNICATIONS Location .. E Address 801 PARKER ST. Type Work w—v '� � MANCHESTER,CT 06040 CT 06040 Pko, e, No, (860)432-521 1 Date Insp Needed Will CA, Date °Insp. / /0� Time Insp Neededire Inp, Inspected By ,� Work in Progress r Input, DateC»— Perni.t No. 3239 Town of South Windsor . CT Date ` 12/10/2001 Street Excavation Permit Expiration Date 12/10/2002 Descrip: INSTALL CATV LINE IN SHOULDEf , 4 ,,. Applicant " � Location Ir Name COX COMMUNICATIONS Tq�g(�T LANE Addr. 801 PARKER ST . .` 06040 CT 06040 T �i'f, ,Wank CABLE Phone (860)432-5211 , Applicant agrees tea ,ur1 the o�rngf Sc►�xth .;Windaor the amount of bond required and to reimburoe `o 54u,th 14Tind or,-fo'r any expenses incurred by the Town f61r2enan ,z �r rpai ri^k in connection with this permit and that app1 icdnt ',,,,­ regulationsfiatri`t r wiiwh:.and'' will `abide by the rules and for permits , .ltl i ned :7°ti the Town',cif South Windsor' s Street Cut Permit Manual . * * PERMIT TO-B-E KEPT ON ,.SOB ,81TE AT ALL TIMES. � Issued by Title Date Completed Inspected By � �✓ APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm ©Address of Firm Phone No. Location of proposed wo M w Describe fully nature of permit requested ttT`�' Ll�IU Starting date 12 );� -I a - 7'7 Approx. time for completion 1 --R taA•.( Call Before You Dig No.,,� y46A 2-70 Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pave— me"�3 Indicate North Prop. size of cut No. cuts Amt. of Deposit$ by ( ) Cash ( ) Check # Gvg J, D� Cut size after Perm. Patch No. Cuts Final Billing $ Amt. Due Payee$ Amt. Due Town $ Applicant is responsible for contacting by the Police Dept. and C.B.Y.D. date 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 WINDSOR'S STREET CUT PERMIT MANUAL. ftl Signed: Qn,k,� Date:_ Titie:�� � .,,, l D.L.#: PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Stanaard Forms\Permits\Street Excavation Permit.doc S W B09-52 NB85CDJL05E6 5 B09E 15/20 47/34.5 17 30/28 1,231' 7/0 4/5 87.1v THRU �,��L� IQl \ 2 \ _8 , ��� W C1 rL O \ c-4ss 133, \ N I . 2 ' — SWB09-58 Wl 2b 72CJP-L❑5C9K y 5 B09E 20/27 47 N 17 24/21 �y 1391' 15/2 1/13 86.5 THRU 30 ~ NNDE WB09 50 CARLA'S PASTA 3 7.92 2 400' 'P -rx 781-721-0047 DIG SAFE Mass ID#17930 20014902770 12112 NUMBER CLEARS 7:00 Conn:800-922-4455 ON Fx 203 248-6448 AM Contractor#1167 i DATE CITY C� /O 1 STREET c74-5z' 0 , ADDRESS Ll t Nurilber 2CMid�C�297f1 OaYe 12tD71Z(lt These.utiltieswere selected for this locagon AbbrevraUon Name Cleared ^Marke CROSS Sir l ,�C YRNWG YRNKEE GAS SERVICES cc�lp coe cncu7uGt�raeneov�Ert CHANGE IF DIFFERENT CATV WORK CbXCAB COX'G00.iAtUNICg7Hf({S -� 2�"4�1 JUL Ns 9IfCiSEYEPIP�LINE7J6fiINES t : 41 AREA MARKED ? YES SWINDS TOWN_Or SOUTH WINe¢bIj MET SNET AdDC 7NE`bfE'JROPOUF nwwoiG7 ry