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HomeMy WebLinkAboutStreet Cut Permits 9999 Clark Street (4) --------------- ---- -- - --—---- 1400200 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 07/I 1/2014 GIS ID:20409999 %= - = FEE: 0.00 MUNIS APPLICATION# 201400917 EXPIRATION DATE: APPLICAN.3Jl LOCATION NAME: METROPOLITAN D TRICT ADDRESS / CLAR STREET ADDRESS: 125 MAXIM ROAD SOUTI WINDSOR TOWN OF HARTFORD,CT 06 L� =- 154fSiL LIVAN AVE ` OUT- INDSOR,CT 06074 PHONE fy Na WORK DESCRIPTION: REI. LI3 LIYI RMNV70QI982#. j APPLICANT AGREES TO FURNISH THTOV OF SOUTH W12 D-S-0RTHE AMOUNT OF$OND REQUIRED AND TO REIMBURSE Im THE TOWN OF SOUTH WINDSOR FORA Y XPEI SES INI URRE,_ Y THE T9W FOII 1vIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TEE APPLICANT I FAMILIAR WITH A0W41,ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OUPH VS!INDSlft STRI ET CUT P1 IT MANUAL. iLoa / ISSUED BY j DATE SP CTED INSPECTED BY 7/1 1/2014 1 1:27AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 0 02 06 CONTRACTOR: C" LOCATION: CAmZ & SATee'-t d.96'Si® m TYPE OF WORK: DATE INSP NEEDED: DATE INSP: la 10 4 INSPECTED BY: WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: G DATE: S/2014 Town of South Windsor INPSECTION REPORT 14 MD039, Rev2J12 THE METROPOLITAN DISTRICT - PAVEMENT CUT DATE: �",/�'"! ' ADDRESS �Cl©� p S�BILL JOB E;4-YffS ❑ NO WO# CLOSEST STREET �i ,►/ --� —�— TOWN -� .jw g2 �� STATE HIGHWAY ❑YES DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE 1N I CROSS SECTION OF PAVEMENT ❑STREET ❑BITUM. " ❑ CONC. ❑PREMIX ❑SIDEWALK ❑BITUM. " ❑ CONC. ❑FLAG " ❑CURB ❑BITUM. ' ❑CONC. ❑STONE ' 4Gv, ¢ ❑DRIVEWAY ❑BITUM. " ❑ CONC. " ASS LOAM &SEED NEEDED ❑YES UACr-- j I s m f REASON FOR CUT z a 000l co DEPTH OF EXCAVATION: C? 0 NUMBER OF CUTS: z DATE OF FIRST CUT:_ •o IS JOB COMPLETED: ES ❑N FOREMAN: REPLACEMENT PAVEMENT CONTRACT NO.: BITUMINOUS ❑ CONCRETE ❑ PREMIX ❑ , DATE COMPLETED: ACCOUNT NUMBER: CALCULATIONS NO. N F CUT ITEM# TI EM# ITEM# ITEM#k I i 1