HomeMy WebLinkAboutStorm Street Cut Permits Talcott Ridge/C .�
Permit No. 2443 Town of South Windsor, CT
Date 06/04/1998 Street Excavation Permit
Expiration Date 06/04/1999
Descrip: NEW ROAD CUT/STORM DRAINAGE -
-
Applicant Location
Name GERBER CONSTRUCTION CO w .' At
,QRCfiRRDS SUB.
Addr. 616 DART HILL ROAD
VERNON CT 06066 ? f 4 ir', STORM
Phone (860 )875-6684
Applicant agrees to furji ,th,e Town f SOU"t ,iradsor the amount of bond
required and to reimbwre hex Town h W` hid
r four any expenses
incurred by the Town fore menace jai r• k i r' connection with this
permit and that app 1 i canta���. a���d ? �i de by the rules and
regulations for permiti ;:�s ra tlln4e t 1 key ) #f A th Windsor' s Street
Cut Permit Manual .
* * PERMIT TO f E$ Brig,-,��� ,2ALL TIMES.
Issued by. T tke �RoST �^�
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT 4 z443
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE 25.00
_ 5
Name of Firm
.
Address of Firm Phone No. k`Z'I,,�.J �- -y; ; � •
Location of proposed work
Describe fully nature of permit requested �
Starting date '� ��n��
Approx.time for completion
Call before you dig no. Traffic Services Control No.
7Showch of proposed work or furnish To be filled out by Town of So winricnr
of separate drawingPavement Cute North
Prop. size of cut
No.cuts
Amt. of Deposit $ by
() Cash()Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt.Due Payee $
Applicant is responsible for contacting Amt. Due Town S
the Police Dept. and C.B.Y.D.
by date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIIMBURSE 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.
Signed: --F_ - ------
Date:
Title:
D.L.A
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES