HomeMy WebLinkAboutStreet Cut Permits 229 Foster Road (2) 1200187 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 10/02/12 = ,.
GIS ID: 33300229 FEE: .00
MUNIS APPLICATION# 201201284 - EXPIRATION DATE:
APPLICANTYr LOCATION
NAME: METROPOLITAN DISTRICT ADDRESS: 2291 OSTER ROAD
ADDRESS: 125 MAXIM ROAD DER Iy-AHMbEFFREY M
NT HARTFORD,CT 061 k4 2 =Ffl9-TER ROAD
SQVTH WINDSOR,CT 06074
PHONE -"
WORK DESCRIPTION: REPXiR y-11TE EPL 9X A OD_
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APPLICANT AGREES TO FURNISH THE TOWN OF S66TH TEE AI 4O_ OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY F�PI Ists ion-R-D --' TQWf�LF6R 11tfAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIC AP'L�CAI�IT IS IYA�11CIT ,IAI UVIT$AND WILT,ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF� 7T O14 WT1dDSRSTIET��UT PERMIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
10/2/2012 10:49 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:_ CONTRACTOR: fh bC-
LOCATION:_ cl
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: CST eta-. o� /cocc._�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C DATE: '(
S/FORMWOWN OF SOUTH WINDSOR INSPECTION
n10-039. Rev 2A2 THE METROPOLITAN DISTRICT - PAVEMENT CUT DATE: �-,�'�- ►
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ADDRESS BILL JOB ❑ YES F-?%O WO# �TS`
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_OSEST STREET ::rsok 9rijTOWN J 4UI na/S d/t, STATE HIGHWAY DYES O
DR W SKETCH SH ING LOCATION AND SIZE OF CUTS AND CUT MADE IN
CRO S SECTION OF PAVEMENT ,.
❑STREET DBITUM. " D CONC. ❑PREMIX °
❑SIDEWALK DBITUM. " D CONC. ❑FLAG °
El CURB DBITUM. D CON C. ❑STONE ' 'f
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REASON FOR CUT: i7e r Fo 0'/Z
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DEPTH OF EXGAVATION: �' o
NUMBER.OF CUTS: I Z
G'QI DATE OF FIRST CUT: P-"I I/"'�/Z
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IS JOB COMPLETED: ��S DNO "
Q FOREMAN.
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REPLACEMENT PAVEMENT '?NTRACT N
BITUMINOUS ❑ CONCRETE ❑ PREMIX ❑
DATE COMPLETED:
ME i
ACCOUNT NUMBER: /ail
CALCULATIO, S
Nam.
OF CUT ITEM# ITEM ITEM ITEM# N
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PRESS HARD, 3 COPIES PAVING INSPECTOR
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