HomeMy WebLinkAboutCAble Street Cut Permits 15 Wapping Aven R
Permit No. 2594 Town of South Windsor, CT
Date 02/17/1999 Street Excavation Permit
Expiration Date 02/17/2000
Descrip: INSTALL 8' GROUND ROD L4µ PPING AVE
Applicant ,
ol
Location
Name COX COMMUNICATION$4'y1F : 15 & BETWEEN 44&48
Addr.. 801 PARKER ST. .
weµ +,ay°"`�a err sr✓ r i F
06040 CT 06040 � TY�wµ ° VOr CABLE
Phone (860)512-5000
Applicant agreed' 7 h of
.' dsor the amount of bond
required and to rei r e 'TO ut I for any expenses
incurred by the Tow�¢ j �
i n connection with this
permit and that appli il 'A's � 14w l abide by the rules and
regulations for perms ', South Windsor's Street
Cut Permit Manual .
* * PE�RMMIIT T@,,;BE K Pt JaB S'iTL AT ALL TIMES.
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Issued y — li, title
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Date Completed Inspected By
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APPLICATION FOR STREET EXCAVATION' PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $2500
Name of Firm Cv� Phone No. s/Z .S2ob
Address of Firm k pZ(Cel-
Location of proposed work o .-: h f aF el`_ 6 eK Y t T-1 -
Describe fully nature of permit requested luf B r /lov/IdQrJ
Starting date Approx.time for completion
Call Before You Dig No. MOT ffic Services Control No.
Show sketch of proposed work or furnish To be#�Iled out by Town of South Wind r
so
two copies of separate drawing -
Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
O Cash O 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 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.
Sign
Date:.
Title` D.L.#•
PERMIT SHALL BE KEPT ON JOBSITE ATALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc e