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HomeMy WebLinkAboutDriveway Street Cut Permits 127 Rosemary auvll6 PENT NUMBER TOWN OF SOUTH WINDS O .DATE: 07/29/ STREET CU p R' CT os .T::,A CUT PR, GIS ID: 77400127 MUMS APPLICATION# 20080 1145 f.,. FEE: x L1'IRATION DATE: 25.00 �k APPLICANjp o7/29/09 NAME: M&S PAVING ANDELING;TNG LOCATION ADDRESS: 435 BUCKLAND RQAI ADRLSS i SOUTH f 7 ROSIrMARY LANE WINDSOR,CI{I607 q 1\TISSIVKA SRIMATHIE L TRUSTEE PHONE .i2:7 RO'SE 860 �IAR-648-1915 Y LANE QITHINDSOR, CT 06074 WORK DESCRIPTION: RI r 'd f D Air f aix APPLICANT A REE ;<S �"TO FU RNISH R N I S H TH E E THE 7 TO WN WN 0 OF £�.S U�O �U CONNECTION WITH R FOR AN :: Xl'iS ...,.0 ":.;.:::. .,:;::: :: (? NT:: HAND TH THIS PERMIT AND THE S I CIII 7 H Wi T FO t.'MAINTENANCE OR REPAIR WORK D AND TO REIMBURSE FOR PERMITS AS OUTLINED IN THE TOWN OF U APPLCN� I EAR �TIND WILL ABIDE BY THE RULES AND REGULATIONS G TDS :> STREEn^ T 'ERMITMANUAL. ATIO SSU Ns ON DATE INSPECTED 7/29/2008 9:22 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** INSPECTED BY TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1 CONTRACTOR: 01 c S LOCATION:1 a -7 p vno,V-u TYPE OF WORK: 'D \vim? tea, DATE INSP NEEDED: DATE INSP: INSPECTED BY: P D WORK IN PROGRESS: AS-BUILT: INPUT:_ m DATE:_Jk_3_�• 0 S W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION'FOR STREET EXCAVATION PERMIT, TOWNOF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE M&S Paving and S®aiin TH WINDSOR,CT 060,74 Buddand"Road' FEE $25.00 `6o�Windsor,-CT ,06074 Name of Firm Phone No. ._- .�. � Address of Firm . Location of'proposed work v Describe fully nature of permit requested F d • Starting date mad Approx.time for completion Call Before You Dig:No. a 7 Traffic Services Control No. Show sketch of proposed work orfumish two copies of separate drawing Indicate North This section to be lilted out bv, Town_of'South Windsor Pavement No cuts Est Size'of Perm:Patch(s) Est Pvt Thickness Est Unit Pace$ Total Due$ by / ( )Cash( ).Cheek# Permanent'Patch No. Cuts Size.of.Patch(s) Final Billing, _ S - Amti Due Payee'.", Ar Due Town $ By A,pycantas responsible for confacfmg Date' the Po6ce<De t and C B Y D ' S, 1.AGREE,TO PflRNISH TO THE'TOWN,ORSOUTH 1NINDSOR THE,"AMOUNT OF,BONDi REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINpSOR'FOfT ANY EXPENSES II ClJRJ ED'BY THE=TOWPt FOR tV1AlNTENANGE OR EZEPAIR VIiORK'(N COHNECTIONINITH THIS PERMii'AN©THAT(AM FAMiLiAA WITH AND WILL ABIDE BY THE RULES AND' LA FOR PERMIT AS NED'IN THE TOWN OF SOUTH iNtNDSOR'S STREET CUT PERMIT IUTANUAL:' Signed Date: Driver's License M PERMIT SHALL B"E KEPT ON JOBSITE AT ALL TIMES - 1