HomeMy WebLinkAboutGas Street Cut Permits Wheeler Road 7
TOWN OF SOUTH WINDSOR INSPECTION REPORT 0' P
Permit No. 3120 Contractor YANKEE GAS
Location Address 112 PROSPECT HILL RD
Type Work GAS
E. WINDSOR CT 06088
Phone No. (860)292-2242
Date Insp Needed
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Permit No. 3120
Date ' -- ., 05/30/2001 Town of South Windsor, CT
Street Excavation Permit
Expiration Date 05/30/2002
Descrip: GAS MAIN FROM ARTHUR DR TO 600 'N OF SMITH
Applicant
Location
Name YANKEE GAS
Addr. 112 PROSPECT HILL RD WHEELER RD
E. WINDSOR CT 06088
Phone (860)292-2242 hype of Work GAS
Applicant agrees to furnish the:Tc�wn cif South Windsor the amount of
required and to reimburse 'the Town O Saulth Windsor for any expenses bond
incurred by the Town for' mnter�ancear repair work in connection with this
permit and that applicant j.s; fam l-i,r With and Wj l , atide by the rules and
regulations for permits 'a ' out} ine�i '.i'n, the Town of Badth Windsor 's Street
Cut Permit Manual .
* * PERMIT TO BE KEPT O JOB. SITE AT ALL TIMES.
Issued by
T i t 1 e
Date Completed 4�/ G 3
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 $25.00
Name of Firm 7 A►�i K E E 6AS Phone No. 060 294 - Z23'6
Address of Firm
Location of proposed work `1✓.` a%� -
�.•o.--. �i-JIlur
Describe fully nature of permit requested
Starting date o r/.��,ro i Approx.time for completion
Call Before You Dig No4G 9292l 34 i Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop•size of tut
No.cuts
Sae- 'of 'Amt.of Deposit by
()Cash()Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
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
04
Signed:
_34�(�Ue, Date: D
TitIe: 0-1&21 1� �� ��1807� D.L#:
PERMIT SHALL BE KEPT ON 706SITE AT ALL TIMES
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A SCALE
PROPRIETARY INFORMATIONS SCALE: i INCH =50 FEET
THE MATERIAL CONTAINED ON THIS MAP SHALL BE DATE
Yankeegas CONSIDERED PROPRIETARY TO YANKEE GAS AND USER Wheeler Rd. , S.W. 5/30/2001
(WHICH SHALL BE DEFINED AS ANY PERSON OR ENTITY
WHO HAS RECEIVED THE MAP THROUGH SALE, PURCHASE, INFORMATION SHOWN IS NOT GUARANTEED
EXCHANGE. GIFT, OR OTHERWISE) SHALL KEEP IT IN AND YANKEE GAS ASSUMES NO RESPONSIBILITY.
A Product of CONFIDENCE AND SHALL NOT FURNISH OR DISCLOSE CONTRACTORS ARE URGED TO CALL YANKEE GAS
Yankee Gas Services Company IT TO ANY THIRD PARTY WITHOUT THE PRIOR WRITTEN FOR FURTHER INFORMATION 1-800-989-0900
GIS System PERMISSION OF YANKEE GAS