HomeMy WebLinkAboutReplace catv along Krawski Drive Street 800089 TOWN OF SOUTH WINDS
PERMIT NUMBER O R, CT
DATE: : ..N STREET CUT PERMIT
06/12/08
GIS ID: 50700023
UNIS APPL ICATION# 200800 86 FEE
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APPLICANT
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NAME:
TELE E TWORKs .
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ADDRESS: 31 BAKEWELL COU� KIRVE ti/:
CRASTON .. y' f ::,<:,v,:; R.: lTERM ':
RI 02921 > f..:;.,..;:.;.:..:; (ITT JOHN J&SANDRA E
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401-461-8420 ,.�5 !•UT I WI', DSO R CT 0, 074
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WORK
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SCRIPTION:S C
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LICANT
LI CANT AGR
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URNISH THE •-Tom e�
THE TOWN OF S ::;.. ;H: : .»..., .:;, ...:.
SOUTH WINDSOR FOR ANY 5XPtg SES>. J .OF'BOIND REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THE SI I�?QaIT'IS° .
OQR MAINTENANCE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TOWN OF SC�T,TH?W A HJ7 ABIDE BY THE RULES AND REGULATIONS
RTRFI i$I PEISIITMANUAL.
ISSUED BY ,
DATE INSPECTED
6/12/2008 2:42 PM *** INSPECTED BY
PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 2 coo 8 CONTRACTOR:
LOCATION: ram
r
TYPE OF WORK: r loV%ii }'� 0S lC�
DATE INSP NEEDED: DATE INSP: /t/z yll
INSPECTED BY:
WORK IN
PROGRESS: t- plc
AS-BUILT:
INPUT: C AA.- DATE: /0'31 0j
W/2007 Town of South Windsor INPSECTION REPORT 07
.F1 •`
APPLICATION FOR STREET EXCAVATION PERMIT 9 W 0 8 9
Appi.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm ' Phone No.4000'A'C•-'3
Address of Firm 31 3-446WM cr C',m/ sn/v , 1 Zip Code
Location of proposed
Describe fully nature of permit requested A2EPlj<1Ju6 C4TV
Starting date A'1 r Approx.time for completion
Cali Before You Dig No.
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS-TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
See No.cots
Est:Patch Sizes) sf
Est.PvL Thickness in.
Est:Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement It
Est.Curb Unit Price$.
Est.Curb Cost$
Est.Traffic Unit Cost$ Ihr
Est.Traffic Control$
AmL of Deposit$
Total Due$
)Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept,and C.S.Y.D.
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.
ned: Date:. G 10
Driver's License M
PERWtT SNALL BE KEPT ON JOBSITE AT ALL TIMES
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