Loading...
HomeMy WebLinkAboutDriveway Street Cut Permits 353 Troy Roa Permi t No . 3'; awn Of SOUth W,i nasor CT Gate 10/ 28/ 1 997 �� Street Excavation Perm 1, r. t E p I r at.k on Date 10i"C"8/ 1 '9948 Descr in : App.iicant Location Name BGUTIN & SONS 0:5i3 TROY ROAD Addr . 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Type of 1h'C3rk DRIVEWAY Phone (. 860 )623-2626 Applicant agrees to fUr Kish, Ithe Town of South Windsor the amount of bond required and to reimburse the ' Town of South Windsor for any expenses incurred by the Town f©r; main�tenance ar`„ repa� r 'wor in connection with this permit and that applicant 'is' familiair with and will abide by the rules and regulations for permits as outlined irithe Town of South Windsor ' s Street Cut. Perm i l- Manual . PE'PMIT TO' BE „KEPT ,)N ,SOB SITE Al AL �'IMES, issued by 1- t I e1r -r d r Date Campletecl' Inspected By .r APPLICATION FOR ST EEET EXCAVATION PE TOWN OF OUTH WINDSOR PUBLIC, WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm � S Phone No. S (0;)a — Address of Firm Location of proposed work Describe fully nature of permit requested Starting date Approx.time for completion Call before you dig no. Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of So Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut GCk. No.aft Amt.of Deposit$ by (1 Cash O Check# Cut size after Perm. Patch No.Cuts ` ` 1 Final Billing$ Amt.Due Payee$ U Amt.Due Town$ Applicant is responsible for contacting 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 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 1 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: 4 Date:�j Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES