HomeMy WebLinkAboutStreet Cut Permit 115 Rugby Lane 800165 i �q TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER �4: _ STREET CUT PERMIT
DATE: 09/22/08 k.7
E
GIS ID:78000115 tea:, : ... F< '" FEE: 25.00
MUNIS APPLICATION# 200801470 ''
TIO N ATE:D 09/22/09
�'� .x Vic;.„`^' ,'�^•: s�� �;a ;� ,,.r;"i y, .>.^ ., ";«�
APPLICANT `LOCATION
NAME: TELE-NETWORKSRUGBY LANE
ADDRESS: 31 BAKEWELL COl ` s f A °SOiaT RUDOLPH
CRASTON RI 0292) $RUGBY-LANE
y � T�I WJINDSOR,CT 06074
PHONE 401-461-8420
WORK DESCRIPTION: INST. A �IBYhNEAR CLARK ST
> `• x'
a N.
APPLICANT AGREES TO FURNISH THE TF RAT T � I QF,BWL
OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI' XP E4IP+1C;• AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH1eABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF TRW 'SST E CJ I P IT MANUAL.
ISSUED BY DAT MSPECTED INSPECTED BY
9/22/20089:50AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: S OD 1 (o �" CONTRACTOR:_ -`e Ie- /Vt°t-JoY L
LOCATION:_ i r s'
TYPE OF WORK:_ 1YLS"I I rt'awe CA--nl
-- _ -DATE INSP NEEDED: f
DATE INSP -- l //C)
INSPECTED BY: /3 h
WORK IN I
c
PROGRESS: �
AS-BUILT:
INPUT: C� DATE: l b 00
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION.PERMIT 'o -
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH W.INDSOR,CT 06074
FEE $26.00
Name of Firm Te Nawo KS Phone No, $4S-2302
Address of Firm 31 WCLL N eX D2 2 I
Location of proposed work
Describe fully nature of permit requested_ dn1S1'i� / :r-?Arc ,q
Starting date • 54 `U
�Approx.time for completion � (I
Cali Before You Dig No.2009 3202 99 Traffic Services Control No.
Show sketch of proposed wank or famish
twn of separate drawing Uxsiub North This section to be lilted 21 ti..
' Town of South:VViad a�`
Sire A'VTACH (3 Pavement Cut
No.cuts
EWSize of Perm.Pat*Xs)
Est.P4 Thkkness .'
Est.Unit Prxe S,
An&of Depoa
TOW Due __by
( )Cash( .)Check#
Pemanent Patch
No. Outs
Size of Patch(s)
FkW Biding
Amt.Due'Payee
Aff t:Due Town
S
By .
Applicant is=.for
P qeB Y D. _
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT Or-BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR-ANY E)WENSES INCURRED BY THE TflINN FOR MAiKtENA (CE OR REPAIR WORK 1N
CONNECTION WITH THIS PFrRMIT AND THAT I AM FAMILIAR WITH AND WILL.ABIDE SYTHE RULES-AND:kEGULATIONS FOR
PERMITS. tNEO THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Date;_
e Driver`s Ucense#:
PN:RMW SHALL BE KEPT ON JOBSITE AT ALL TIMES
(� �tt6
Y
�9�
,�t�D
��
��
��
.�'v ctC� vJ��N�S 0�