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HomeMy WebLinkAboutStreet Cut Permits 33 Sally Drive (2) 1200081 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 05/30/12 i i 9-4 -��- GIS ID: 79500033 FEE: .00 MUNIS APPLICATION# 201200667 � PIRATION DATE: LOCATION APPLICAN �� % y�� e NAME: METROPOLITAN DIST DRES ,LY DRIVE ADDRESS: 125 MAXIM ROAD y L JOIE ENNETH K&MARY ANNE HARTFORD,CT 0611FJ 'DRIVE z� M INDSOR,CT 06074 PHONE WORK DESCRIPTION: LOCATIk WD -1-4' -w of APPLICANT AGREES TO FURNISH THE UT O ID REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANC ER - R MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THT�CAIS A ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN O� ifiWA , PER MANUAL. ISSUED BY DA ED INSPECTED BY 5/30/201210:07AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** W USA AF Am f � -� 01 �f -ok �M s� ,s116 s ff ,. - ' TOWN oVSoum WINDSOR INSPECT ou REPORT P n'NO.: is COOL . NTRi4CtnR. . LOCATION: .TYPE OF WORIGce DG :DATE INSP NEEDED: DATE INSP_I2 I E INSPFCT�6Y: � WORK IN • P�tOGRESSS:.—fit. -� ' X .� ' ��•�- /r���Le `n, 1, �'�ve . SEPTIC TANK PUMPED,SMASHED,FILLED Wn-NE SSED []YES ❑ NO 'AS-BUILT:- INPUT:, ' �- DATE: Y W12007 Town of South Windsor INPS MON REPORT 07 THE METROPOLITAN DISTRICT - PAVEMENT CUT DATE; BILL JOB YES❑ N94 wo## )DRESS TOWN Vl �S-Qlf STATE HIGHWAY YES ❑ Nowt RAW SLET S WING LOCATION AND SIZE OF CUTS AND CUT MADE IN 'SECTION OF PAVE IENT STREET BIT.CONC. ❑ CONCRETE ❑ PREMIX D o SIDEWALK BIT. CONC. ❑ CONCRETE ❑ FLAG CURB BIT.CONC. ❑ CONCRETE 'D STONE ❑ DRIVEWAY__XBIT.CONC.A�7 CONCRETE D GRASS LOAM &SEED NEEDED YES© NOW REASON FOR CUT: zotoA +� as NUMBER OF CUTS: / DATE OF FIRST CUT. IS JOB COMPLETED; YES 2( NO❑ FOREMAN; GLc / piCV- aEPLACEMENT PAVEMENT CONTRACT NO w } Cn BIT. CONIC. 1] CONCRETE ❑ PREMIX D DATE COMPLETED: ACCOUNT NUMBER;_` 7' / 2 CALCULATIONS d OF CUT ITEM ITEM# ITEEM# ITEM O CV G CV C1"'1 C 4 MEE d G PRESS HARD, 3 COPIES PAVING INSP. OPERATIONS UTILITY SERVICES CONTRACTOR (ORIGINAL) (W111TE) (WHITE) (YELLOW)