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HomeMy WebLinkAboutStreet Cut Permits 235 Pierce Road (2) 1300138 PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CT ,i ., STREET CUT PERMIT DATE: 06/21/2013 GIS ID: 71400235 MUNIS APPLICATION# 201300852 FEE: 25.00 EIRATION DATE: 06/21/2014 APPLICANT; mal ' j NAME: ' M&S PAVING AND SSA I1VC - LOCATION ADDRESS: 111 COMMERCE WAS %//% RES�-- 230�PIEI CE ROAD SOUTH WINDSOR, C� Il(17 - LRA WILLIAM JR 31VIOM ROAD PHONE 860-648-1915 - I *VVINDSOR CT 06074 WORK DESCRIPTION: " APPLICANT AGREES TO FURNISH THE TQ WpFpUTI / THE TOWN OF SOUTH WINDSOR FOR ANY AM0U 1NT O BOf D REQUIRED AND TO REIMBURSE CONNECTION WITH THIS PERMIT AND THAAPI LL A S ��� �T�WN*QR MAINTENANCE OR REPAIR WORK IN FOR PERMITS AS OUTLINED IN THE TO WN OI`3-oLIE,JRTET CI3J PT MANUAL. IWIAIWIRT ABIDE BY THE RULES AND REGULATIONS RV ISSUED BY DAT ��'ECTED 6/21/2013 8:38 AM *** INSPEC D BY PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** As �! , ItAn i _i _ ice! / � 2-3 Ch La i ; TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: a—DID CONTRACTOR: Yyl4-S a U t LOCATION: a :5 e i l a 12 Gaa TYPE OF WORK.— DATE INSP NEEDED: DATE INSP: INSPECTED BY.- WORK IN PROGRESS: i ©k SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT. INPUT: L DATE: S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION HPR-17-201:?3 01:46 FROM: TO-8602674369 APPLICATION FOR STREET EXCAVATION PERMIT Appl,Nq. TOWN OF SOU' K WINDSOR PerirR NO. PLIIBLIC WORKS DEPARTNNEW 1840 SULIJVAN AVENUff EOLITH VANID90R, CT i s FER 025.00 N rno df l E I�fl,/1 It Phorm I *.,-.. Addre"ref Firm )nc 7l Z ode Nserib9 fully naturo of parmh requeste. 6pa6w4 g AID � 4 rting d Amu.tlme for oomplstton 4W Call DefQm You Diu No. Irxlsffno W&tQF Supply; 1w'pvw10 1N4tgr. ❑ Nell PLSASE NOTE: THE DEPOSIT FOR THE PFJgMANENT PAVEMENT PATC14 AND CURS IqMACENIIl;1'IT IS A pR.LIMINARY ESTOAATE THE APPLICANT 19 RESPONSIBLE FOR THE FULL FINAL COST OF Thl! PERIIBANEN1 pATO"AND CURD REPLALENIENTr II I.UDING ANY II r.RWES IN PATCH AREA,CURS OOMF�#.Ir' O WHIA�EAAR�THE TEMPORARY PATCH mvT rC OL AND THE TOWN'S CONTRACT COU O B THE 9AT� T14AN A Y�T PATCH is RYPICALI.Y Rtt��{E#Ch h! �€�s1t urrti ae ie �s iit Atti#a.�r lwq coplos tot sepw9v draWma Ift&4tA mom 'Cggtx�;3420 Vn fflm N4.arts I b e at,fvt,ThIckrms in. e4t,Patch Unit Pride$1Gt fist,Paten covet Ent.Cte#Remigro►tnartt EM.Qwb Unit Prlt a o4 6D, GSL Cuv, F-st_Trait Unit Cost S Amt.of DePoslt� i i Total Doe$ , { }Gasti Appliml is re"nslkfle far dontacim f o Ey iha and 0.0x C) I At AEF TO FUFIlMs t TQ TIME TOWN OF SOUTH WINDSOR THIS AMOUNT OF 13OND REQUJAED Ards TO RrDMf3LISSF;NC T[tWN Cc SOUT14 WINDSOR FOR ANY ExpENSES INCURRED BY THE TOWN FOR I01AINTENANCE OR REOAIPI WORK IN CONN WITH PERMIT AND T14AT I AM FAMILIAR WITH AND WILL ASIDE 13Y THE RULES AND REQUI..ATit:.NS FOR r EA MIT 5 ti THF,TOWN OF SOUT44litf NDSCA' STREET OUT PERMIT MANUAL. Cato- svi T�tfa. OaHU n KCASE ALLOW AT LEAF TINO WORKG1140 QAYZ A"EK AP'PLIGATION FOR ISSUANCE OF R'EWIT wO(RK MAY NOT BEOW UNTIL A PEFIi IT KM 8E0 ISSUED PERMIT SHALL K KEPT ON JORSITE AT ALL TINIIa_6 suede I?mab6 t p4m9t 00 REV IWZ-09