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HomeMy WebLinkAboutDriveway Street Cut Permits 165 Valley V 790145 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 09/24/07 GIS ID: 91200165 FEE: 25 .00 0 MUNIS APPL ICA TION# 2 00701 532 TI D f BRAON ATE: 0 2 9/ 3/08 APPLICANT ':° "a' - ' LOCATION NAME: M&S PAVING AND SEAP .. E # a`:VA—LL Y VIEW DRIVE ADDRESS: 43 5 BUCKL AND � KI ROBERT S JR& ` 074 is Y VIEW DR SOUTH WINDSOT om �; � F H SQT7T WINDSOR CT 06074 PHONE 860- - 915 648 1 ;.�y WO RK DE SCRIPTION:CRIPTIO _.�N: D RIVE : t Ki: 1. APPLI CANT TA AGREE S TO FU RNISH THE Tom.WI�-: 1~5��.. �, . �M,.'C�1 ,C��:;BQTVT D REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY XP SE. '91;tjR-t 3° t iEf ( ,;FDR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLI At IT TS"P ir11 IAR, CJ '�1 D''WI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S(33FiTIi 1 6'7QSR,S TR1 Ty— I<PF TGIIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 9/24/20072:57PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: T(S LOCATION: b5" a )W TYPE OF WORK:_ DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: e AS-BUILT: INPUT: C DATE: �" i A W/2007 Town of South Windsor INPSECTION REPORT 07 APPL#SAT#ON FOR STREET EXCA'UAT#ON PERN[IT ®p5' TOWN OF SOUTH WtNDSOR, PtTBLIC WORKS DEPARTMENT Permit No. DWN HAc '1540 St1LLIYAN AVENUE SOUTH WINDSOR,Cr 066.74 FEE 9 -00 4 Narne ofi A Firm ddress ofi Firm Phone No.. Location of proposed work 1 �1 — i3escnbe fully nature ofi permit requested Starting date +� Approx.tim hre for co lefion Before You"Dig No. d(�7C�a'7 Traffic Services Control No. " Show skets aif proposes}work {u - twpcopies of separate drawing i"Cate'North his section o be filletl ocrf 6v, 3'ows of South ids Pavement Cut No�arts Est.Size of Perm.Patch{s} `°�`� Est.PvL Thickness �. Est.Unit Price$ Arnt,of[posh$ t Totat $ by f )Cash( }Check Permanent Patch No. Cuts a/" Size"of PatCh(s} Fstat Biitinq $ AMt:Due Payee $ Amt.Due Town By Applicant is responsible for contacting the to�ce De t and Y D .. . Date i AGREE 7"O FtiRNfiSH t©:THE TflV1jl1 OF,SOUM tlViiriE3SOR"THtE Ai[Ot1N 'Op;BONA REQUi_RED ANQ TQ REiMBt1RSE THE TOWN.Oi` SOUTH 17lttNt)SOR FOR ANY EXPENSES tNCUf�RED t3Y-THir TOWN FOR MAll�1lTENANCE OR REPAIR WORK iN CCNNEC7 tE7N 1►1I177=i THfS,PER(utlT AND,THAT I Al FAMILIAR V1Ct�H-AN[�"iit�1L#�Ag1pE BY T!IE RULES ANQ RrGULA TtOCVS"Ft3R PERMITS AS " INED IN E TOWN Of✓ E3UT#i VIfINDSOR'S STREET EUT PERMIT iUTANUAL Date Driver's License#: .. PERMIT SHALL KEF�T ON Jf?i3St7 E AT AL[.TIMES