HomeMy WebLinkAboutCAble Street Cut Permits Between 33 and Permit No. 2537 Town of South Windsor, CT
Date 02/16/1999 Street Excavation Permit
Expiration Date 02/16/2000
Descrip: INSTALL 8' GROUND RODo,FOR,-�tAlvi" �"= ,:WINDY HILL DRIVE
'Applicant Location
Name COX COMMUNICATIONS BETYEE( .$ &45
Addr. 801 PARKER ST. w
06040 CT 06040 Type p IWb
r k GABLE
Phone (860)512-5000 2
;
Applicant agre
es, to fi i�h of. raa I rdsor the amount of bond
required and to reit>�b r� �e �`o►�h� #� �outh ��*or4for any expenses
incurred by the Tows � � r' epI in connection with th i s
permit and that app i 10-an, � � � 1 abide by- the rules and.
regulations for perffil,tt a 4ut 7south Windsor's Street
Cut Permit Manual .
� Y r
* *, PERMIT TO, E„ T ALL TIMES.
Issued by t1e . - >
Date Completed _ Inspected By
o�37
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm lir Phone No
.
Address.of Firm
Location of proposed worker4✓ee�, y
Describe fully nature of permit requested n y
Starting date Approx.time for completion
Call Before You Dig No. 1-41 S9_ 07D0 (14&'�f Traffic Services Control No.
Show sketch of proposed work or furnish two copies of separate drawing To be filled out'bv Town of South Windsor
Pavement Cut
Indicate North. Prop.size of cut
No.cuts
Amt.of Deposit$ by
O 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.
Signed: Date:_ /mil c c!
Title: D.L.#•
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard Forms P