HomeMy WebLinkAboutWater Street Cut Permits 151 Woodland Dr M
TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 4342 Coi)ttactor>CONAJECTIL I. WATER COMPANY
Location
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Type Work WATER -ii:CT
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Permit No. 4342 Town of South Windsor, CT
Date 12/21/2006 Street Excavation Permit
Expiration Date 12/21/2007 i; „^<i a•:..
Descrip: REPAIR A WATER MAIN B..JZ: k'B E?N ]51k-"f6: .: PD'hND DRIVE
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Applicant Ldtkion
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Name CONNECTICUT WATER;:"CO,M�`� �.>..,,.; •"°�, ' `�"�1Y0>DI3,�;�I�'€��R�:V� '
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Addr. 25 NORTH ROAD 5<
EAST WINDSOR CT .6e'o:g:.8 Y;i.;.,:.i.....; :x.: '. � ::n;gor1'%'.WA.,,T•,6R,„"':
Phone -one 860 2 2 55 2
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Applicant agrees
:of:�:f�x �.�h:.��ie ;�''�utn."`��'`'.St?�aG'h W n 'o;�:<�'li;`e"atri'ount of bond
required and to reiipbvr'Ses-,r11,,e '�; wn off;;��;a,• ':h'` }`c sor feC f ny x `uses
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incurred by the Town: frtir; Ma"tkina-""'" e' "` a :k i ';'ceari e.. 'o" with this
permit and that appl5c;an >a; <Y it `Wf'* k''<azi ''"' .. ,i;;' ":b the rules and
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regulations for permiitsi. Ws �Vu ct.;<; `z 3 « v`''>>;" -:'..S t>h::sW'zAdso 's Street
Cut Permit Manual.
* * PERMIT TLC:.. B'E:t:CEP QN`,J T:
Issued b l)`^-" F "r, w "ik t 1.
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Date Completed
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at-iC&Fax Note 7571 Pa9eeaf
o No. 0364 P. 1"=
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EC From G ita EET EXCAVATION PERMIT S y�--
co,m�pt. o�G Co, A-)el SOUTH WINDSOR
Phone# phone# 3 :RKS DEPARTMENT Permit No.
Fax# I Fax# 1WN HALL
.LIVAN AVENUE
NQSOR,CT 06074
FtE $25,00
'Name of Firm
Address of Firm ys Phone No, L 3•.33,s3 x 33v
LoQUon of pmposed wor 9'
Describe fully nature of Permit requested
lot-
Starting date Approx time for complego Call Before You Dig No. lea JS-
Ttgtffc Services Control No.
Shaw skekil of PrOPOW work or fumiah
two copies of separeis drams
Indicate North This io be fSrrar3 w.h by
a�i� Town of SouthrtR�mdsor
Pavement Cut
•s•— No.cis
EsL'Stxe of pam.I'atch(s)
Est.Pvt.Thklawss in.
Est Untr P be 3
1 Amt,of Dew$
Total Due ,
! ( )Cap,( )O d#
,� � Permanent P$�
V No. Cuts
S^we of Pat S).
5) FhaI salkV
Aft.Due Payee
Amt.DL%e Town
By - .
�bant is re f'or contemn vy,
the Ponce Qw.and C.a Y.D.
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BONO.REQUIRED AND TO REIMSU
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED By THE TOWN FOR MAt RSE THE
CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AIVO W1LL ABIDE! THE E LE5 AND RERGLATI NS K IN
PERMITS AS O NED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMrT MANUAL.
Signed-
Date•
Titfe- i o,� ,t ow
DrrWs License#:
PERMIT SHALL BE KEPT ON SOSSrrE AT'ALL TIMES