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HomeMy WebLinkAboutCAble Street Cut Permits 221 Talcott Rid TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No4 3 Contractor COX COMMUNICATIONS Location 2` . . w.. s Address 801 PARKER ST. Type Work CABLE MANCHESTER,CT 06040 CT 06040 n No. (__8/I60)432-521 1 Date Insp Needed •�(11�l� °" Time Insp Needed Inspected By Cc Work in Progress SOR ° t -- Date �� r� Pe imi No. 3403 Town of South Windsor, CT Date 09/25/2002 Street Excavation Permit Expiration Date 09/25/2003 Descrip: INSTALL CATV LINE Applicant % Location VI Name COX COMMUNICATION xff OTT RIDGE RO Addr. 801 PARKER ST. 06040 CT 06040 o k CABLE Phone, (860)432-5211 Applicant agree h ` �T-W ndsor the amount of bond required and to re �u a ou d,� for any expenses incurred by the To n f in `' re in connection with this permit and that ap i i��j' h abide by the rules and regulations for pe u rf ` South Windsor' s Street Cut Permit Manual . wi"1 91 * * PEERRMIT s� ALL TIMES. SORV by v r--�^�A V tle qza�,. Date Completed Inspected By Sep 24 02 02: 57p Witch Ent. Utility Div 4138210955 p, 3 r APPLICATION FOR STREET EXCAVATION PERMIT ./ D TOWN OF SOUTH WINDSOR NDSOR ...--_ a - PUBLIC WORKS DEPARTMENT / � • �, TOWN HALL p� 1540 SULLIVAN AVENUE (% SOUTH WINDSOk CT FEE $25.00 Name of Firm © Phone No. Address of Firm µ Location of proposed work c2e2 ( 7n I r jo f -- 2 Describe fully nature of permit requested f; Starting date GQ rs_9 Approx.time for completion_ I —'� r�#•1;� Call Before You Dig No.a16 ba /oZ C7 Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town Of South Vindser two copies of separate drawing Pavement, Indicate North _ Prop,size of cut n tvo.cuts Amt. of Deposit$ Cash Check# Cut size after Penn. Patch No. Cuts Final Billing$ Amt. Due Payee$ Amt. Due Town $ Applicant is responsible for contacting by date the Police Dept. and C.B.Y,D. 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 CONNECT ION 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:_ ti _ Date: Title: D.L.#: PERMIT SHALL BE KEPT ON 308SITE AT ALL TIMES Standard Forms\Pennits\Street Excavation Permit.doc r l .ki 'NO �+, t $ ,T th ON c .iaet, [ -,t`r:'tt{1ns�+�4' p e rJ•y Y� it 1.i�t�? Ivlc, a� 4Fp,; 61 € 01.1 4 � I.'It�£ � ..h die , fit . � sL _