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HomeMy WebLinkAboutStreet Cut Permits 430 Strong Road (2) 1100175 PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CT STREET CUT PUBLIC UTILITY DATE: 11/07/11 GIS ID: 87000430 MUNIS APPLICATION# 201101107-- EPIRATION DATE: APPLICANT- NAME: METROPOLITAN DISTRICT = LOCATION ADDRESS: 125 MAXIM ROAD = ADDRESS- 430 STING ROAD HARTFORD, CT 06114 ER PdUINAMES T 430 SIRE NG ROAD PHONE {3UT WINDSOR,CT 06074 WORK DESCRIPTION: SER��CL$QREPAIR Afiff STREET I3UTM RD APPLICANT AGREES TO FURNISH THE fglA OF SOUTH ND 09ift AMO, t ND REQUIRED A TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANC EXPNE INIJ� , .E T� P©R MAINTENANCE OR REPAIR CONNECTION WITH THIS PERMIT AND THE'-1PfLICANi-is i- --f AR WI-- AfiII# LI AND IN FOR PERMITS AS OUTLINED IN THE TOWN OPtS Wk ABIDE BY THE RULES AND REGULATIONS OUTH WIIVDSR STRE -CT-1 CT PERMIT MANUAL. WORK ISSUED BY DATE INS' TED INSPECTED BY 11/7/201111:30AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ._.._....... TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: � D. kO�?S CONTRACTOR: 04L LOCATION: 9 3 0 S TYPE OF WORK: a i v; eeo DATE INSP NEEDED; DATE INSP: t �3 INSPECTED BY: Gb. IAlf'mv tAI PROGRESS: /9 )` /d? ,/C/J� 'r .S_et✓i`c' SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: ._ DATE:______ ^ W12007 Town of South Windsor INPSEMON REPORT 07 THE METROPOLITAN DIS IRICT - PAVEMENT CUT DATE: ✓i���� BILL JOB YES❑ NO(a Wad` 375-2,?571 .LESS C-�G G� � �` / �� TOWN STATE HIGHWAY YES 0 40 E'-., DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN CROSS SECTION OF yPAVEMENT I �, 4I3 1 STREET BIT.CONC. El CONCRETE ElPREMICJ O z SIDEWALK BIT.CONC. ❑ CONCRETE ❑ FLA ' D CURB BIT.CONG. D CONCRETE ❑ STON ❑ DRIVEWAY L/—BIT. CONC. CONCRETE ❑ GRASS LOAM& SEED NEEDED YES ❑ N ) El REASON FOR GUT: .,oX NUMBER OF CUTS: r DATE OF FIRST CUT _ - IS JOB COMPLETED: YES R--90�❑ FOREMAN; xz• REPLACEMENT PAVEMENT C-)NTRACT IOi� BIT.CONC. D CONCRETE ❑ PREMIX ❑ o DATE COMPLETED: ACCOUNT NUMBER: CALCULATIONS OF . ITEM/ ITEM# ITEM# -- 1 o C-J C71 0 z PRESS HARD, 3 COPIES i PAVING NAB) OPERATIONS E)) UTILITY SERVICES GOPYEL'IOW)