HomeMy WebLinkAboutElectric Street Cut Permits 119 Trumbull Permit No. 2862 Town of South Windsor, CT
Date 09/14/1999 Street Excavation Permit
Expiration Date 09/13/2000
Descrip :
Applicant Location
Name CABLE CONSTRUCTION CO. 0119 'TRUMBULL LANE
Addr . 405-D NEW STATE ROAD
MANCHESTER CT 06040 Type of Work ELECTRIC
Phone (860 )649-8217
Applicant agrees to furnish 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 oe repair work in connection with this
permit and that applicant ° s familiar ,wth and will ;abide by the rules and
regulations for permits as outlined in the Town of South Windsor' s Street
Cut Permit Manual .
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* * �,ERMIT TO KEPT ON JOB' SITE AT ALL T'IMES.
Issued by �. '-- -- ' Title t_ AIL,
Date Complet,,eq Inspected By -.- —
` APPLICATION FOR STREE
T EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT--
TOWN HALL
1S40 SULLIVAN AVENUE
SOUTH WINDSOR, CT `
FEE $25.00
Name of Firm �< GF/.t�% 90 /.try Phone No.
Address of Firm
Location of proposed work 229 �� L,q
Describe fully nature of permit requested �iG— •�,� �Lp awl
Starting date Approx.time for completion t
Call Before You Dig No. /f Yeva Z a 3z Traffic Services Control No.
Show sketch of proposed work or furnish To be filled,ou Town of South Windsor
two copies of separate drawing
l
Pavement Cut
Indicate North Prop.size of cut
No.cuts
t S Amt.of Deposit$ by
(}Cash(}Check#
{ 19 Cut.size after Perm. Patch
w ,PyV^f- to 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.
IAGREE 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: ��
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Title- D.L.#•
PERMIT SHALL BE KEPT ON 308SITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Pernit.doc