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HomeMy WebLinkAboutDriveway Street Cut Permits 76 Wendy Dri TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4171 Contr 'C't'Or AIR O liD'T=,<:6:, INC. Location 0076 WENDY DRIVE �{-� Addre ': `BOX 71 Type Work DRIVEWAY " mLTTH 41NMOR CT,,06074 Phone38.7,6 Date Insp Needed rt ---—------ -- - Date Time Insp Needed , P --------— T 3 m I i Inspected By Work in Progress --- IL 4%K -- _ � . . . . --------- ----------- -- Permit No. 4171 Town of South Windsor, CT Date 03/31/2006 Street Excavation Permit Expiration Date 03/31/2007 iii Descrip: Applicant Lbca.t'ion Name AIROLDI'S INC. 607 ,T�E3JJ�3�, D12IVE:• Addr. P 0 BOX 71 SOUTH WINDSOR Ci 66074 as'Cs Wor: DRIV-SWAY 7. Phone (860)289-3876 Applicant agrees; Cb f trn kY 'the Tc3can of &m.th Windsor the"'amount of bond required and to rei3nburse 'tie Town t�f :;bath' k73ndsor fait. ECny expenses ui incurred by the Towy for maasten'ance o rpaXe�xk zX3o�ine :tirn with this permit and that appidpiant":ia familiar` with and Wi"7J ab bY:.th rules and regulations for permit: as outlaned x bQ aar7fS a Sput- Wind'sor's Street Cut Permit Manual. PERMIT Tfl BE I EpT.©N $ SIT$ AT ALT TI;�,.4 CIssued by Date Completed IMF...ecte'::: - d By y APPLICATION FOR STREET EXCAVATION PERMIT -q _ TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm �e o� � s ;u L Phone No. Address of Firm�'� .Q�, 'Aso-' Location of proposed work_ ` A b Describe fully nature of permit requested ��d�Q a- �� �•_ �,�� Starting date Approx. time for completion Qe�s Call Before You Dig No.'��©kr,\3a 3`1 Traffic Services Control No. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor Pavement Cut No.cuts Est.Size of Perm.Patch(s) Est.Pvt.Thickness in. � Est.Unit Price$ Amt.of Deposit$ Total Due$ by ( )Cash( )Check# Permanent Patch No. Cuts \a Aw' Size of Patch(s) yam, Final Billing Amt. Due Payee Amt.Due Town By Applicant is responsible for contacting 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 CONN THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMI AS OUtITH D I HE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: Title: Qz:�C'� Driver's License#: 0CCi1RIT QUA 1 RC VCDT nAl 1^001TC AT Al i TiItACQ