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HomeMy WebLinkAboutCAble Street Cut Permits 205 Tumblebrook TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 50 Contractor COX COMMUNICATIONS Location Address 801 PARKER ST. Type Work , MANCHESTER,CT 06040 CT 06040 (860)432-5211 Date Insp Needed s 7 z, Time Insp Needed p' Inspected By Work in Progress i'ms ck. 3i �P� Date P "No`. r 3350 Town of South Windsor, CT Oat® 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 Applicant agrees th j �nd or the amount of bond required and to reim th r� r any expenses incurred by the Town en pai i connection with this permit and that appli t . an ide by the rules and regulations for permi asea1i f uth Windsor's Street Cut Permit Manual . WOW sot * PERMIT T LL TIMES. Issued by Date Completed Inspected By s ''_ _U1 16 02 02: 18p Witch Ent. Utility Div 4130210955 p, 1 APPLICATION FOR STREET EXCAVATION PERMIT01 - D TOWN OF SOUTH WINDSOR �� PUBLIC WORKS DEPARTMENT r TOWN HALL 0) 1540 S• �� ULLIVAN AVENUE ®� SOUTH WINDSORF CT Name of Firm a 'mod Phone No. too "ICA Address of Firm µ Location of proposed work Describe fully nature of permit requested A rox.time for com ledon 1—3 `�`�S w to 4e r Q f�'K C" ' Starting date I 0 Y pp p Call Before You Dig No. O© 02 (} Traffic Services Control No. Show sketch of proposed work or furnish TA be filled out by Town of south Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.arts Amt of Deposit$ by S� ( )Cash()Check# 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 0 SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THI PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN TH TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed:, Date: Title: .� �. Q - - D.L.#: PERMIT SHALL BE KEPT ON 30BSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc ul 16 02 02: 18p Witch Ent. Utility Div 4138210955 p. 2 Mass: 8782B1--304044-7233 DIG 2901373CLOEANRS7/ 7:00 Fx 78 - 7930 SAFE20 0 AM M855 10#1 NUMBER Conn:800-922-4455 Fx 203 24tj-6445 Contractor *7 CITY - j DATE STREET 2 j- ADDRESS r //--, s",14el— All, m =7A. W-- *01 Ar N,- U r -440444CROSS ST ff %!`---CHANGE IF DIFFERENT CATV WORK 24" AREA MARKED ? YES *ghiw( � 1 Ord m