HomeMy WebLinkAboutElectric Street Cut Permits Tumblebrook + TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3 *Contractor L&P
LocationC
Address TOLLAND STAGE RD
Type Work IC TOLLAND CT 06084
Phone No. (860)871-3443
Date Insp Needed Z,2 0 Date. Insp, aI„2
Time Insp Needed Time Insp.
Inspected BYE,.,.. -oar
Work in Progress ] )
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Input �tf L Date ! I ��
Permlp No. 3216 Town of South Windsor, CT
Dat't- -* 10/16/2001 Street Excavation Permit
Expiration Date 10/16/2002
Descrip: REPLACINC DIRECT BURIED CABLE W/CONDUIT
Applicant Location
Name CL&P :TIIMBL`EBROQK DR. /HOMESTEAD DR. /
Addr . 48 TOLLAND STAGE RD
TOLLAND CT 06084 :TYPO' of Work, ELECTRIC
Phone ( 860)871-3443
Applicant agrees to furn7sh. the Town of South Windsor the amount of bond
required and to reimbur e h�~�,Tpwn 'of c�u i 1 indsIor: fo,r any expenses
incurred by the Town for, mgkl tdba a o,r, r+epait;- work ' in connection with this
permit and that app 1 i a.rnt �i fami 7 i ar, W"Ith and WJ'�1 1 abide by the rules and
regulations for permits--ss utl,* ;ih.,,the Town: 'of South Windsor's Street
Cut Permit Manual .
PERMIT TO BE KEPT ON .+1d8 ,$IT.E AT ALL TIMES. �
Issued by
f
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
-Z, l 4 TOWN HALL
JS40 SULLIVAN AVENUE
4, 1,0 'z-a 9 9 SOUTH WINDSOR CT
FEE $2S.00
(Add
ame,of Finn Co►,J*j u G� ln)VZ Phone No. -
nass of Firrn. 1..` r� ►'`�
lion of proposed wo
escribe
i�!mature of permit requested
arting Babe 1�for
�.all Before You No. Tram Services control No.
Show sketch of proposed work Or furnish TTo ff"o t�Town of South Windsor
two copies of separate drawing
Indicate North Prop.size of cart
No.cuts
.Amt.of Deposit$ w
c cash Check ..�, .
at size after Perm.Patch
�A�DR Ta / ` Z�,'�i= /3 7 No. Orts
YV
Anal Billing$
rjfir THE n r
l SFr L f le'b. 4vcr V. RIa 0, C z- Amt Due Payee$
06 to
Amt Due Town$
C��-9Ac� �A�t� A�'^►2Rc�s� ��Sq�sZ9 sLZ�/
Applicant is responsible for contacting by date
the Police Dept.and 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: 0 1 co
Tide: D.L.#:
PERMIT SHALL BE KEPT ON 30SSITEE AT ALL TIMES
Standard Forrns\Per nitsASbeet Excavation Pennitdoc