Loading...
HomeMy WebLinkAboutTelephone Street Cut Permits 31 Victor L TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3188 Contractor CABLE CONSTRUCTION CO. Location1*1 „ r, Address 405-D NEW STATE ROAD Type Work TELEPHO MANCHESTER CT 06040 Phone No. (860)649-8217 Date Insp Needed D 1"e Znsp. gr O1 Time. Insp Needed Ti, Inspected By Work in Progress d �. Inputs Date �- ,� 0�— Permit No. 3188 Town of South Windsor, CT Date6P-, -,.,, 08/24/2001 Street Excavation Permit Expiration Date 08/24/2002 Descrip: Applicant Location Name CABLE CONSTRUCTION CO-` Q 31 " I.C" OR LANE Addr. 405-D NEW STATE ROAD MANCHESTER CT 06040 Type o 1 `="TELEPHONE Phone (860)649-8217 Applicant agrees t© furrt,� h thdk WTawn f t"H t *ind$or the amount of bond required and to reimburse - Tflwn o ;�►9utFi )�trwdsar for any expenses incurred by the Town for mkt. hirsnahc off- repa i r work ., n connection with this permit and that applicant " am11a; w t and" 41 - abide by the rules and regulations for permits as ;odt1'113d;.in" � "TowKtM ai' `.south Windsor's Street Cut Permit Manual . * *'PERMIT TO bE K1wPT ON J4�', SI.T- "Al~. ALL TIMES. Issued by ±�^ '� T rt t 1 e •-• Date Completed f—�z�f I-nspected By /G-� APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN TALL 1540 SULLIVAN AVENUE ` SOUTH WINDSOR, CT - FEE $2500 Name of Firm k ear C9�00 Phone No. * 7 Address of Firm D Location of proposed work / Describe fully nature of permit requested Startin date p/ • Approx.time for completion. Call Before You Dig No. Traffic Services Control No.To Show sketch of proposed work or furnish be filled out by Town of South Windsor. two copies of separate drawing . Pavement Cut Indicate orth Prop,size of cut No.cuts Amt.of Deposit$ by $S O Cash{)Check Yfal Cut size after Perm. Patch /G#�E'IUQ AIL Lea gam,_ No. Cuts Final Billing$ Y Amt. Due Payee$ Amt. Due Town Applicant is responsible for contacting by date the Police D t.-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. Signet.- Dater Title: D.L.#• PERMIT SMALL BE KEPT ON 70BSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc