HomeMy WebLinkAboutCAble Street Cut Permits 65 Tumblebrook TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor COX COMMUNICATIONS
Location Address 801 PARKER ST.
Type Work MANCHESTER,CT
06040 CT 06040
(860)432-5211
Date Insp Needed s OZ
Time Insp Needed ;
Inspected By
Work in Progress
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Date
Pe+pI�No. 3331 Town of South Windsor, CT
Date 06/25/2002 Street Excavation Permit
Expiration Date 06/25/2003
Descrip:
Applicant Location
Name COX COMMUNICATIONS M BROOK DRI
Addr. 801 PARKER ST.
06040 CT 06040 ' ', .... ABLE
Phone (860)432-5211
d
Applicant agrees ' th nd or the amount of bond
required and to reim th r any expenses
incurred by the Town f en pai i connection with this
permit and that app l i t an - i de by the rules and
regulations for permi frS uth Windsor's Street
Cut Permit Manual .
n i
* * PERMIT T K LL TIMES.
Issued by 14.So `�►urn L..g r��e/
0 V
Date Completed Inspected By �� �
.I,;,jn 25 02 07: 06a Witch Ent. Utility Div 4138210955 p, 2
-ti
.� APPLICATYQN FOR STREET EXCAVATION PE
0.0 : TOWN OF SOUTH WINDSOR PERMIT
PUBLIC WORKS DEPARTMENT
Ito TOWN HALL
(%
tg�1 1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00 CT
Name of Firm pa
Address of Firm Phone No. 17
(cz0
Location of proposed work M
Describe fully nature of permit requested _i Fti F
�rA.i E
Starting date
Call Before You pig No. Approx. tlme for Completion _� �,� �
Traffic Services Control No. —�
Show sketch of proposed work or furnish
two copies of separate drawing To a filled Quit b Town of Sou
Windsor
Indicate North &=eqL
Prop.size of cut
No.cuts
s Amt. of Deposit$ b
Y
G y g J, �c ()Cash()check#
Cut size after Perm. patch
No. Cuts
Final Billing$
Amt. Due Payee
Amt. Due Town $
Applicant is responsible for contacting
the Police De t. and C.B.Y.D. by date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMIT THE TOWN OF
TOWN OF SOUTH.WINDSOR'S STREET CUT PERMIT MANUAL. UTLI WITH THIS
S AS OUTLINED IN THE
Signed:
Date:
Title: u�
D.L.#•
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavabon Permit.dac
-Jun 25 02 07: 06a Witch Ent. Utility Div 4138210955 p. 3
y. '0.. Mass: 888-344-7233
Fx 781-721-0047 DIG S/'1f
Mass I 0 -9224 2 QO 2 2644903 CLEARS
NUMBER �/�� 7:00
Fx203 00.-6448 55 ON AM
Fx tra 248-64 W', �V
Contractor#1167 CITY
DATE Or ��
STREET
ADDRESS 41001 J,
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RANGE tF DIFFERENT CATV WORK
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AREA MARKED ? YES
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