HomeMy WebLinkAboutStreet Cut Permits 100 Cadbury (3) 1400184 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
10
DATE: 06/23/2014
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GIS ID: 15900100 = FEE: 25.00
MUNIS APPLICATION# 201400804
3 EXPIRATION DATE: 06/23/2015
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APPLICANT �� _
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NAME: BOUTIN&SONS f % ADDRE 4(TCBURY
ADDRESS: 121 WINDSORVILL A&-
6ILTI I( CARMEN R
BROAD BROOK, CT I ( A BURY
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PHONE 860-623-2526 I WNDSOR, CT 06074
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WORK DESCRIPTION:
APPLICANT AGREES TO FURNISH THI OWN�F tTT- E XM4? Y�F I ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FORAY. P N I4yS �ASE O PO AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIP ICA£ T I
� � #�D OL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN SC1`-U IPI' fiFII� R Tom) T GI - WIT MANUAL.
ISSUED BY DA'PEPE" TED INSPECTED BY
6/23/2014 11:20 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 110019Y CONTRACTOR: &q n a- -50ru
LOCATION: /0 0 co d,4u cq �a vie
TYPE OF WORK: 1 U'p c _oa U
DATE INSP NEEDED: DATE INSP: A I�s
INSPECTED BY: B�
WORK IN
PROGRESS: - o e S/%''l-� L !e ou
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: `` DATE:
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
THURSDAY. 10AM Tsc:�,C�
BOUTIN & SONS PAVING; COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 5/20/14 Scheduled Work Date:
Date of Estimate: 5/22/14 Completion Date:
Date of Acceptance:
Name: JASON KYA:s4ct i (� r Q Gray
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Address::- 100 CADBURY LANE
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SOUTH WINDSOR Bitur �
Tel: 860 644 3545 No.c
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Job Location: OFF OF CHESHIRE , AVERY ST 0
Description: }
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Quote Good for 60 Days.
Special Attention: 1/2 Payment Upon Starting, galance Upon Com06#ion.
Contract 's �� ,� Permit] 1 f 311
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD / I� LAI d Date ��