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HomeMy WebLinkAboutDriveway Street Cut Permits 87 Tumblebro Permit No. 2924 Town of South Windsor , CT Date 03/20/2000 Street Excavation Permit Expiration Date 03/20/2001 Descrip: Applicant Location Name BOUTIN & SONS Ofl7, TUM81�E BROOK DRI Addr. 121 WINDSORVILLE ROAD BROAD BROOK CT 06&i 6V` Tye. of Wt��r k DR I V EWAY Phone (860)623-2526 Applicant agrees to rfurrt�sh 1;h,e T+ wry of SbUth -Windsor the amount of bond required and to reimfure To fl `; �rt� tth W` ir�dor fair any expenses incurred by the Town for eepai i wr%rk in connection with this permit and that appl kart ys, f2 , : ar W . and� w� 17a+bide by the rules and regulations for perms is 'as Out1 i rigid n the, .of: South Windsor' s Street Cut Permit Manual . * * PERMIT TO .BE KEPT',ON -JUB -SITE .AT.; ALL TIMES. A/ Issued T i �, d"? - 'by w t 6: e- Date Comp l eteci I� Inspected By is Permit No 2922 Date 0312012000 '`-'wn Ot South Windsor, CT `street Excavation Permit Expiration DatB;� 03/2t3f�:OC�7 Des--rip : Applicant Location Name 8OUTIN & SONS Addr. 121 WINDSORVIL+._E ROAD (}ry;3� TUMBLE BROOK JRI BROAD BROOK CT 0b01611 Phone t:860 ?623.-2526 Type of ydork 'DRIVE'WAY Applicant agrees try , furs i s?I J the Town of required and to re.'mourse the Town of South Windsor the amount of bond Incurred by the Down ,for maintenance or©repa�ir�worl� #norconnectny pon�w�1 Permit and that appiicantis familiar With and will; abide by the rules and regulations far permits as aut, iined in the Town of South Windsor ' s Street Cut Permit. Manua ) . m m PERMIT TO BE KEPT ON J408 SITE AT ALL 7"IiAE6. Issued by Title Date Comp feted _ --- - -- - Inspectea p. APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25 00 Name of Firm �17 ? Phon N o� Address of Firm Location of proposed work Describe fully nature of permit requested Starting date Approx.time for completion. Call Before You Dig No..,,,.,_ Traffic Services Control No. Show sketch of proposed work or famish T0-be.fi116d oaf b1T"wn of-South Windsor two copies of separate drawing PavRment Cut Indicate North Prop,size of cut No.cuts Amt,of Deposit$ by O`Cash O Check# Cut size after Perm. Patch a No. Cuts Final Billing$ Amt. Due Payee$ Amt.Due Town Applicant is responsible for contacting by date the Police De .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: VOIJA Date: Xad Title: D.L.#• PERMIT SHALL BE KEPT ON 306SITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc