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HomeMy WebLinkAboutDriveway Street Cut Permits 175 Valley V 700147 TOWN OF SOUTH WINDSOR, CT J PEP,MIT NUMBER STREET CUT PERMIT DATE: 09/24/07 GIS ID: 91200175 FEE: 25.00 MUNIS APPLICATION# 20 0701533 LIRATI ON DATE: 09/23/08 APPL ICANT OCA TI L ON NAME: M&S PAVING AND SHALlN IN.C'''"'"-_>,. AtES ' VALLEY VIEW DRIVE ADDRESS: 435 BUCKLAND ROAI) ROTOXN M SOUTH WINDSOR C' 7� .60 4 AL. �Y... <;�<� ;"'s;: ,'F� I.E. VIEW DR 09 rl�L 7-� , T SO R,CT 06 074 PHONE 860 _648 _ 1915 s'<' ,y WORK DES CRIPTION: RIPTI ON: DRIV� ,. r. APPLICANT AGREES TO FURNISH THE Tavel' ..t 3 C lTH;ry OLT*W-+'OF'-0066REQUIRED AND TO REIMBURSE URSE THE TOWN OF SOUTH WINDSOR FOR ANY EN,SL3> T F3s'< Q; FOR' 1TNTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE)WPI;I 1NT AAII :I FH'Xl Dem'u ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SIJTIIYDSR S"STIEiI "If MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 9/24/20073:03PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** APPLfATlON FOR STREET"EXCAVATION PERMIT 7"© ?/ TOW, OF SOUTH WiNDSOR PUBLICWORKS DEPARTMEN Permit NQ'T TOWN HALL '(540`SUC LtYAN AYENU SOUTH WiN SOR,CT 66074 FEE.$25,00 Name of Firm i Phone No. �. 3e Address of Firm . Location of proposed work. 1-7 5 1/�QL-C =Y V t(� fief V� Desctibe fufi{y nature of"Permit requested"?'!C�tTU �1. >XS�7fu , ryCicc / Wt.-ng fig( Approx."timeLion. " � Y�e � Call Before You Dfg No. + $U '7 Traffic Services Control No. Shaw stretch afproposed warts or famish twn copies of separate drawing " tntCafe North. phis section fb be filletl"out by" Town of South Windsg!r Pavement Cut No.cuts'. Est.Size of Perm.Patsh(s} Est Piet"Thkkness in, Esf.Unit­Price"$ Amt.o#Deposit Total Due$ by 5 ( -}cash( ")check# Perrnarwnt Patch tVo. Cuts` Size of Patch{sj Final BMfiv. Amt Due_Payee Amt Due Town" By Applicant is responsible#sx contacting Rafe the t: t'AGREE TO FURNISH TO THE TOWN(}P S©tJTH.WINDSOR THE AMOUNT 01=BOND RI=QtlIRED Q►ND 70 REIMBURSE THE TCSWN t F SaUTN iIVINDSOR l~4R ANY EXPENSES INCURRED BY 11iE Tt3WN FOR MAKE QR:REPAIR"WORtC tN QNNECTION'WlTH FH .PERMlF AlVO THA`f fi=ADifi FAMil:iltR Wt li 11V[3 WILL}1BIDE BY:THE RULES AND"iREGUt AfiQNS-FOR PERMt l'S AS- "" 1NEq. TF tE fQW QF SOCITH V1fINDSQR'$STR�E1`CUT PERM!T M4It1UAl: Date: . Tifie 1 Driver's License PEDtMlF SHALL E IiCEPF ON.If)BSIFt=A7 ALL F1MES 's TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: `7 00 1 q 7 CONTRACTOR: LOCATION: Fez _-.-- TYPE OF WORK:_ DATE INSP NEEDED: DATE INSP: INSPECTED BY: ea WORK IN PROGRESS: AS-BUILT: INPUT: �� DATE: W/2007 Town of South Windsor INPSECTION REPORT 07