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Water Street Cut Permits 65 Tumblebrook
TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3844 Connor"C::01 `NICT-EQ.yT WATER COMPANY Location 0065 TUMBLE BROOK DRI Lq-M Type Work WATER ` 25 b( " .„k�;,5T WTNDSCR 6088 '.,232-`:S• 52 a. i. Da te e I n sP Needed Ne ': . e Time Insp Needed Inspected B ys L, Work in Progress --/���- /SKr/-GV e+ _���Y✓I '} � i�flj� Tom' i} ,i Permit No. 3844 Town of South Windsor, CT Date 09/03/2004 :... Street Excavation Permit Expiration Date 09/03/2005 " ~ } Descrip: REPAIR WATER LEAK Lp Applicant Name CONNECTICUT WAT "'` ' . $R CbMP,J�Y : �3� �'T�LE �3R.b'pIC•;D$.I`> Addr.. 25 NORTH ROAD h sa ;: ?s> :AM* •, ;; SOR CT' EAST WIND 0"6"0<8 2 Phone (860)292-5552 '` ?• : u' t: •;:s^Sr Applicant a ree.4 to•sfiz , . ount of bond required and to refp]?.lk incurred by the Tow f " kA #} x:,: na' n c.,.' t ri ` T#<, t1s5n with this permit and that a l' ""` , S. :slz<" sfi3l``.:ati .c by „[kte rules and PP � regulations for perml*.ts as 5. ,';• 4'." `�."."",ry�,',` '©f ➢� ds,'or's Street ...... Cut Permit Manual. ?'€ "y'>.:<r e:.3r `y.r ;. 1.,..,.. * * PERMIT TG'<:;B4:•T� ;PT`'EtJ:<.TCTB ' I:.T:E A ""ALIT. TI1Ey5'. x Issued by _ ••` ." 'f'itl�e :• Date Completed ___-------- Inspected By SEP. 12004 11 : OOAM MICONNECTICUT WATER CCRIEE T�JEXCAVATZON pELNO �128, P. 2 TOWN OF SOUTH W114DSOR PUBLIC WORXS OEPARTMEI-yr TO I w"�11�1�ALL 1S40 SULLIVAN AVENUE SOUTH 'WINDSC)k CT Name of Firm ` w4 Address of FI C 1 A— Phone-Mo. —�� • Logtion of proposed wor G ds of— c $� � s Describe Fully nature of permit reque Ti'arr starting dtc — ; D may' Call Before You Dig No. �OhL�G° } Approx,titre for completio / Traffic Sero--s Control No.- Show sketch of proposed work or urniSh two Copies of separate drawing au T wn f th Indicate North U Prop, size of cut No.cuts Amt.of Deposit$� h Owl f C)cash() Check �", lid Cut size,af er Perm. Patch No. cutsrT� Mimi Billing NAmt. Due Payee$ Ant Due Town$ Applicant is responsible for Cpntzcbng the Police De t. arld C,B.Y.D. by date I AGREE TO FURNISH TO THE'f'OWN OF SOUTH.WINDSOR THE A�QUNT OF BOND REQUIRED A SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FRh AND TO !ZE[MgUR,E-1-HE T WN OF PERMIT AND THAT I AM FAMILIAR WITH AND 1NILL ABIDE BY THERUL25 AND REGUTATIONS FOR PERI41x7 S AS p1JTiTNE TOWN OF 5X)UTN WINDSORS SCREW CUT PERMIT'MANUAL„ MATNT�NA,NCE OR REPAIR WORK IN CONNECR'ON THIS ' DIN THE Signed; bate._' a Title: >PERM T SHALT.S E KEPT ON 306WE AT ALL 71'MF,S Srandard Forms\Permits\meet Excavatfan P=Mdoc SEP, 3. 2004 11 ; 00AM CONNECTICUT WATER CO, N0, 128 P. 1 NORTHERN REGION FACSIMILE TRANSMITTAL SHEET TO' FROM: Cathy Art Plante COMPANY: DATE: Town of Soudi Windsor 09/03/04 FAX Ntib ML- 'IO'x'AL NO,OF PAGES TNGLUDING COVER 694-7280 2 PRONA Nt=RR: CWC FAX NUMBER 644-2511 ex244 1-860-654-1903 RE! PRON£NUMBER Permits 623-3355 ext. 3355 O URGENT X FOR REVIEW Ca PLEASE COMMENT $LE,ASEr REPLY ❑ PLEASE RECYCLE NOTEi$/COMRQENT5: Cathy; We needed to repair a water Idak at 65 Tumble brook Dr. The water break occurred on Sept. 28th 2004 in the morning. We will, permanent pave the area when time permits. I apologize for the delay; I have been away for a few days. Sincerely,.Art Plante