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HomeMy WebLinkAboutStreet Cut Permit 673 Deming Street 900044 TOWN OF SOUTH WINDSOR, PERMIT NUMBER C T STREET CUT PERMIT DATE: 05/04/09 GIS ID:27600673 :• g MUNIS APPLICATION# 200900440 FEE: x y DG �b 25.00 tATIONDATE: 05/04/10 APPLICANT .NAME: AIROLDI'S INC. " ` LOCATION ADDRESS: P O BOX 71 Y9I G STREET . JED W& SOUTH WINDSOR ANN K `F ING ST REET PHONE "y TI WAND v j SOR,CT 06074 WORK DESCRIPTION: DRIVEKI' «,. .. y APPLICANT AGREES TO FURNISH THE T "OF � 5 THE TOWN OF SOUTH WINDSOR FOR AN) T j BAND REQUIRED AND TO REIMBURSE CONNECTION WITH THIS PERMIT AND THE I ' � �OTIAINTENANCE OR REPAIR WORK IN FOR PERMITS AS OUTLINED IN THE TOWN OF�S'3LJV TS°3 r L ABIDE BY THE RULES AND REGULATIONS It PIT MANUAL. ISSUED BY DATE INSP CTED INSPECTED BY 5/4/20099:30AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMR.c*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 0©O.y� CONTRACTOR: pro 10l s LOCATION: TYPE OF WORK: --- - DATE INSP NEEDED: DATE INSP: -._ - .. . • • INSPEGi'ED BY: WORK IN PROGRESS: G.C,o p AS-BUILT: INPUT: G� DATE:, 31 , 0 q W/2007 Town of South Windsor INMEMON REPORT 07 APPLICATION FOR STREET EXCAVATION. PERMIT qua°/ TOWN OF SOUTH WINDSOR -!7 PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm �� �®� Address of Firm 0 Phone No. Location of proposed work w .Describe fully nature of permit requested tt Starting date (� Call Before You Dig No. Approx. time for completion Traffic Services Control No. Show sketch of proposed work or famish two copies of separate drawing This section to be filled out b Indicate North Town of south'Windsor Pavement Cut No.cuts Est.'Size of Perm.Patch(s) Est.Pvt.Thickness in. Est.Unit Price$ Q Amt.of Deposit$ �-} Total Due$ by )Cash( )Check# Permanent Patch �e No. Cuts Size of Patch(s) Final Billing Amt.Due Payee Amt.Due Town By Applicant is responsible for contacting the Police De t.and C.B.Y.D. nnfa 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 I 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: J� Date: Title. Driver's License M PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES