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HomeMy WebLinkAboutStreet Cut Permits 460 Felt Road (2) 1100056 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/06/11 GIS ID: 32400460 FEE: 25.00 MUNIS APPLICATION# 201100546 „ EXPIRATION DATE: 06/05/12 APPLICANT° = - LOCATION NAME: M&S PAVING AND Sf -LlNG,INC ADwRES 460 FELT ROAD ADDRESS: 111 COMMERCE WAS' - OW �RT-ELMA H IHOR N&GENIA N SOUTH WINDSOR,CT 0-6074 = 46©FELT RD OJTFI WINDSOR,CT 06074 PHONE 860-648-1915 WORK DESCRIPTION: DRIVEVtfiSY APPLICANT AGREES TO FURNISH THE TQWN OF SOUTHWINDI?R TIDE"AMpUNT G B.aND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURREI} A THE I ?WN I�ORIVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPI SCANT IS FAMI IAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR' `STREET M- ARTVIIT MANUAL. ISSUED BY DATEINSPECTED INSPECTED BY 6/6/201110:56AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I 60015(Q CONTRACTOR: VVA g-�s LOCATION: q Cp n 15L6 f TYPE OF WORK: w\"4-R L'D DATE INSP NEEDED: DATE INSP: f l"3ll/4 INSPECTED BY: Rk� WORK IN PROGRESS: be ie_ --10 SY,� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: (' DATE: Y W/2007 Town of South Windsor INPSECTION REPORT 07 04/29/2004 THU 8:44 FAX 860 644 7280 South Windsor Town Hall 10 003/003 APPLICATION FOR STREET EXCAVATION PERMIT J.I � TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN-AVENUE SOUTH WINDSOR,CT 06074 pwiFEE $25.00 - Name of Firm, Phone No. Address of Firm 1 1. Location of proposed work 057 _ Describe fully nature permit requested Starting date 5•- ..ic— l Approx time for completion Call Before You Dig No. 01 Q 1( d alb Traffic Services Control No. Show sketch of proposed work or furnish This section to be fitted cut by two copies of separate drawing Indicate North Town of South Windsor Pavement Cut No.cuts Est.Size of Perm.Patch(s) i Est.Pvt.Thickness in. Est Unit Price$ Amt.of Deposit$ Total Due$ by ( -)Cash( )Check# Permanent Patch No. Cuts Size of Patch(s) Final Billing $ Amt.Due Payee av, $ Amt Due Town By Applicant is responsible for contacting Date the Police Dept.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 CONNECT ION'WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL A131DE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED HE.Tq)WN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. < bate; Title: A) Drivers License M PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES