HomeMy WebLinkAboutGas Street Cut Permits 89 Windsorville R Permit No. 2484 Town of South Windsor, CT
Date 08/13/1998 Street Excavation Permit
Expiration Date 08/13/1999
Descrip:
Applicant Location
Name YANKEE GAS 089 WIND RVILLE ROA
Addr. P.O. BOX 1030
MERIDEN CT 06450 Type 0f Work GAS
Phone (800)989-0900
Applicant agrees to I rn i t b the Tdwn of` Soufi. ,;l i hsls r the amount of bond
required and to re i mbu ree the, owt of.'� s ii h W ; rq --x Fo-r any expenses
incurred by the Town for; 11, enar���r ,1"�pai r� � ��,ri� connection with this
permit and that app 1 i oani fart r,W � �tac( r° l� Oi de by the rules and
regulations for permit3 ,as cu't1, ned in the' Tc r , n ,o,uth Windsor 's Street
Cut Permit Manual .
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E r
PERMIT 8EE#?T ICJIy . d6 BiTI ALL TIMES.
Issued by Ti.tfieA> C;�7ifM 7�►rn�'�
Date Comp 1 t d �� Inspected By
j.f/ N
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC TOWN DEPARTMENT
t540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm i 0.41��Q�9— OLS c a i L Phone No. 2-
Address of Firm 117a S�
Location of proposed work o
Describe fully nature of permit requested
a S !-4'C—q—.
Starting date Lj ci, OS Approx.time for completion \ o
Call before you dig no. Gi R 37-Cb 7_ Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
o—
Amt.of Deposit$ by
{)Cash()Check#
Cut size after Perm. Patch
No.Cuts
7Applica
Final Billing$
Amt.Due Payee$
Amt.Due Town$
onsible for contacting
the Police Dept.and C.S.Y.D. by date
1 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.
i
Signed Date: a //3 AS
/
Title: }�i L �d /7 4 i�/I e -e/ D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES