Loading...
HomeMy WebLinkAboutWater Street Cut Permits Troy Road/Sulli 2323 Town of South Windsor, CT Date 07/28/1997 - ''Street Excavation Permit Expiration Date 07/28/1998 Descrip; PRESSURE REDUCING VALVE INSTALLATION Applicant Location Name CONNECTICUT WATER COMPANY TROY Rd, AT SULLIVAN AVE Addr. 25 NORTH ROAD EAST WINDSOR CT 06088 hype Qf Word WATER Phone (860)292-5552 Applicant agrees to fiurn"i;sW the Town of So th. !N sndsor the amount of bond required and to reimburse the. Town. ©f 5auth 1ndar for any expenses incurred by the Town for mai�ntenanc6� or,, "in connection with this permit and that applicant is fami l ia;r w-it-h and-;wi? 1 `abide by the rules and regulations for permits. aS, out1ined in the Tow` cif South Windsor's Street Cut Permit Manual . * PERMIT 'O BE KEPT ON JOB. SITE AT ALL "TIMES. Issued b yam' �.' T1t1e L7-P - -7 I� Date Comp 4tid � Inspected By T-©*J .- OF SO UT-- t+ W-I-NSS©R___I-N-S P EC T I ON'_-R E PQR'T APPLICATION FOR OF SOUTH EXCAVATION PERMIT PUBLIC WORKS DEPARTMENT LL 1540 SULLIVAN AVENUE � Z SOUTH WINDSOR, CT FEE $25.00 Name of Firm vT �I/,�TF�L_ Phone No. Address of Firm J�j L/in/o604 - 7— 060AS Location of proposed work /NTr,�.sn »ar/ ate= Thy �o�4s> 9.t/D Sd��✓A�/ A✓�.vr�.� Describe fully nature of permit requested Starting date 7 8 0 zp Approx.time for completion__, ,r Ie- Call before you dig no. Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of So. Windsor two copies of separate drawing Pavement Cut Indicate North ! //" Prop.size of cut �d f!R p/os>EO No.cuts Amt.of Deposit 8 by O Cash O Check# Cut size after Perm. Patch No.Cuts Final Billing 8 fXla9in/G /Z �Q/,l17. Amt.Due Payee$ Amt.Due Town$ Applicant is responsible for contacting the Police Dept.and C.B.Y.D. by date 1 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. Signed: Date: 7 Title: �it/G//✓�d�iL._- D.L.# OMSD 83'2/ r147A) PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES