Loading...
HomeMy WebLinkAboutStreet Cut Permit 815 Avery Street Permit No. 4321 Town of South Windsor, CT Date 10/25/2006 Street Excavation Permit Expiration Date 10/25/2007 } Descrip: EXC ROAD TO INSTATE TEST ST}f'';t=`` Ap plicant a scan t Name YANKEE GAS ;0. 'lfryAVERY Addr. 112 PROSPECT HI;. t. " E. WINDSO R CT 0':60 Phone (860)292-2242 sfy r,- :<}:Es Applicant agrees to'';fzr► ':1= t:h. .,#� 13 >:Sajtit; ..Windtt'1 e?x �::s z.. ' i':.- »�RBtIC�Unt of bond required and to rei 13ur'se- it r'10 r iJrsray Lypnses incurred by the Town M1-'ltftance o repair wo $ n m y fi r�rw eot4)n with this permit and that appl :cant tP' ami . �� �y e b the rules and regulations for permiG.s a `_o`t� in� ;'4:q, 'of g _W; :�jdsor's Street Cut Permit Manual. XA * * PERMIT TO }a "K P ON JQS-"S-1TE AT.,.,, &.,T� : S. .f '!,4 •v�{ 'Y"`3:. '�; :dam'� - r�,e:. Issued by 71 <.::. r` Date Completed _---_--__--_ Inspected By .. TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4321 Cont�a6tor'YANKE. GAS Location 0815 AVERY STREET f. , ` `ddre's £.1 12 ,R �PEC Type Work GAS 3 ' HIRD Z_.: WIND9O46 CT 0088 :Phone''jhT:o.;.f''g: };29;2jQ'2-.4r2 r w.4 f Date Insp Needed40-1 gnU Time I nsp Needed -------- ;e> I Inspected B f k yS it` .F' vzii.}. ly ^k..: '9 t £~? ''n J '�.':W::_ 53 :: —3ti y a w mp k Work in Progress r � i APPLICATION FOR STREET EXCAVATION. PERMIT TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm00 ." Address of Firm Phone No. S% �, � �� / Location of proposed work �' Describe fully nature of permit requested < � Starting date Call Before You Di No. _,� �) � Approx. time for completio g �' Traffic Services Control No. Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be fitted out by Town of South'Windsor Pavement Cut No.cuts ✓U vPR__ Est.'Size of Perm.Patch(s) �q IS Est PvL Thickness in. �i Est.Unit Price$ Amt.of Deposit$ Total Due$ by ( )Cash( )Check# Permanent Patch Gb No. Cuts Size of Patch(s) © 3V Final Billing) A� a Amt.Due Payee Amt.Due T BY " Applicant is res risible for contactingO the Police De t.and C.B.Y.D. 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 IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED HE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date:-ZG2�-" Titie:_ O Driver's License PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES + I I I i 0L - �� i I � + .06 ze ' • L • F- " a I • Go ;r in 41. la • � e i SUE._. R � R a I s i .ontai on this map shall be TITLE aprietary ary to Yankee Gas and user : 815 Avery St, South Windsor ►ed as any person or entity Key 001, TS4 S ved the map through sale,purchase, Ratio scale 1:359 :,or otherwise)shall keep it in o 03 ' Divide second number by 12 to covert ratio to feet.Example 1:1200 is 1"'=100" 3 0 d d shall not furnish or disclose )arty without the prior written Information shown is not guaranteed and Yankee Gas assumes no responsibility. Yankee Gas. Contractors are urged to call Yankee Gas for further information at 1-800-989-0900 The Northeast Utilities System