HomeMy WebLinkAboutStreet Cut Permits 9999 Pierce Road (2) 1400045 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 04/01/2014
GIS ID: 71409999 FEE: 0.00
MUNIS APPLICATION# 201400301 = - EXPIRATION DATE:
APPLICANT = LOCATION
NAME: CONNECTICUT WAS ER COMPANY ADDRESS; PTIR ROAD @STRONG ROAD
ADDRESS: 25 NORTH ROAD OWNERQIjTk WINDSOR TOWN OF
EAST WINDSOR, GT b -,8 - f5WSIILLIVAN AVE
' "= OIFIWINDSOR,CT 06074
PHONE 860-623-3355
------------
WORK DESCRIPTION: RERAI!VBRQ WAIT RMAIN i
APPLICANT AGREES TO FURNISH THT TO I OF 8OUTH VINDSt}I THE"AMOUNT 9F$OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI1I'=RXPBAIES"INGURRE7 BY THE TOWI�I FOI2 MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T APPLICANT 1S FAMILIAR WITH AIEID VILE ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUS H WTNDSR'S-STREET CUT PiIItMIT MANUAL.
IS UE BY I3ACTED INSPECTED BY
4/1/2014 9:29 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: y_S- CONTRACTOR:
LOCATION: Smn Oct
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: .
INSPECTED BY:
WORK IN
PROGRESS: _z.` $ J. "
t t ate `
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: G DATE:
W/2007 Town of South Windsor INPSECfION REPORT 07
Xz/S.7/GUU3 IU.i..'` o:dJ rAE. BUU 444 IAOU DOULLL r.LLIl'bor -JUWU Neill. WJUU6/UUL
APPLICATION FOR STREET EXCAVATION. PERMIT
TOWN OF SOUTH WINDSOR Permit No
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINRSOR,CT 06074
FEE $25.60
Name ctf.Firm T ,4 r'ox (.�5 Phone No. '$(o 0- v
Address ofHIM_Z �tlo, �-r� / ' ern o soy es
Location of proposedr
Describe fully nature of permit request c! _ + ' +rrv+cwl A�w ttif
Starting d8te . • r12 4
Approx.time for Completion r z h
Call Before You Dig INo. Z01 y a,,e 0 0 Traffic services.Control No.
Show sketch of Proposed wori4 or funusft
two copies of separate drawing Indicate North This section to be filed out by
Town of South Windsor
Pavement Cut
No.cuts
Est.'Size of Penn.Patch(s)
' e e
Est Pvt.Thickness_,,,in.
Est Unit Price$
Amt of Deposit$
E,
Total Due by
{ )Cash( )Check#
' Permanent Patch
No. Cuts
Size of Patch(s)
'4k e-4 V,4 9s�w Final Billing
20 x z-0`
Amt Due Payee
,. $
Amt.Due Town
Is reMOnsible for contactinq I nato
and.CJB Y D
I AIRED TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT Of BOND.REFIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY.EXPENSES,INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T#>AT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REC3ULA1'fONS fOFt PEI?I41ITS AS INED IN TOWN DI=,,UTTJ WINDS 'S STREET GiIT PERMIT ANNUAL.
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