HomeMy WebLinkAboutCAble Street Cut Permits 75 Tumblebrook TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3346 Contractor COX COMMUNICATIONS
Location Address 801 PARKER ST.
Type Work MANCHESTER,CT
06040 CT 06040
hh (860)432-5211
Date Insp Needed Idle s
Time Insp Needed
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Date
Pet MA 3346 Town of South Windsor, CT
Date ` 07/23/2002 Street Excavation Permit
Expiration Date 07/23/2003
Descrip: CABLE
Applicant Location
Name COX COMMUNICATIONS M BROOK DRI
Addr. 801 PARKER ST.
06040 CT 06040 ABLE
Phone (860)432-5211 y
Applicant agrees th 4nd or the amount of bond
required and to reim o th rF r any expenses
incurred by the Town en pai i connection with this
permit and that appli VMt an ., ide by the rules and
regulations for permi li uth Windsor's Street
Cut Permit Manual .
0 e �9
* * PERMIT T 4Aw LL TIMES.
Issued by _,,.,� '
Date Completed Inspected By
Jul 22 02 10: 28a Witch Ent. Utilit�j Div 4138210955 P. 3
APPLICATION FOR STREET EXCAVATION PERMIT _
�S0 : TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1544 SULLIVAN AVENUE
��o SOUTH WINDSORf CT
IF W14 / VE
Name of Firm 0 (!OK L'c -�1,�� 1�1_��$�td?� Phone No. Sly - Ilk 250
Address of Firm M h t =22 i A P&N&01 K X 8�rn I C-T,
Location of proposed work -25 Tu�r+� It 1,rAn1G Ott.
Describe fully nature of permit requested r L IAA C
Starting date w2vqlb Approx.time for completion_._ nA.4 Wto� �re11.i.i1(-1 N
Call Before You Dig No.QQ O Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement C
Indicate North Prop.size of cut
No.cuts
� Amt. of Deposit$ by
( )Cash()Check#
G Cut size after Perm. Patch
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: _ M66- _ Date: `
Title: 1a�9� xbrx�A D.L.#:
PERMIT SHALL BE KEPT ON]OSSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc
Jul 22 02 10: 28a Witch Ent. Utility Div 4138210955 p. 4
Mass: 888-344-7233
Fx Mass I #17930 DIG SAFE 20023000340 7/25 7=00
Mass Ill#17930 CLEARS
NUMBER ON
Cow 600.922-4455 AM
Fx 203 248-6448
Contractor#1167 CITY
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