HomeMy WebLinkAboutCAble Street Cut Permits 48 Trumbull Lan P60r;l t No. 2909
Town of South Windsor, CT
Date 01/18/2000 Street Excavation Permit
Expiration Date 01/17/2001
Descrip:
Applicant Location
Name COX COMMUNICATIONS G S48°TkUMSULL LANE
Addr. 801 PARKER ST.
06040 CT 06040 T'Y .off W6*`k CABLE
Phone (850)512-.5280
Applicant agrees to furry sip `the TbWn ;of nth Windsor the amount of bond
required and to reimbu-rse 'a te, Town` of iputh 4Vi-nd or, for any expenses
71
incurred by the Town for t1�c1,j�itena�►de ar,t epai f; work in connection with this
permit and that app l i cant } faati-Naar W,%16h. and w i 11 abide by the rules and
regulations for perms ts''� ' ""04 '1 i ned,'. n_,th Town' ,bf South Windsor' s Street
Cut Permit Manual ,
* MI ��*7FNRT "AT ALL TIMES.
. ��
Issued by — - Tj t 16 7z
Date Comp i ei ed L __ - Inspected By _ U -----
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $2S.00
Name of Firm m., -
Phone No.
Address of Firm r
Location of proposed work.
Describe fully nature of permit reque ed N
is
Starting date / Approx.time for Completion el 4;
Call Before You Dig o. a o® / Traffic Services Control No,
Show sketch of proposed work or furnish To be filled out by Town of south Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
_ No.cuts
Amt.of Deposit$ by
{)Cash{)Check#
` Cut size after Perm. Patch
i
1
r 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 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: fAl—a—c)
Title: t& e C--/� D.L.#•
PERMIT SHALL BE KEPT ON 30BSITE AT ALL TIMES
Standard Forms\Permits Street Excavation Per it.d c