HomeMy WebLinkAboutStreet Cut Permits 437 Clark Street (2) 1600221 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/30/2016
GIS ID:20400437 FEE: 25.00
MUNIS APPLICATION# 201601757 EXPIRATION DATE: 11/30/2017
APPLICANT LOCATION
NAME: COTA CONSTRUCTION,LLC ADDRESS: 437 CLARK.STREET
ADDRESS: P O BOX 242 OWNER: STEWART CHERYL J
BROAD BROOK, CT 06016 4-1-CLARK STREET
SOUTH WINDSOR, CT 06074
PHONE 860-292-6104
WORK DESCRIPTION: WATER SERVICE
APPLICANT AGREES TO FURNISH THE-TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED 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 THE APPLICANT ISFAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
11/30/2016 3:28 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
--------- -- --- ---
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 16 r ,57 1 CONTRACTOR: C,'n-174
LOCATION:
TYPE OF WORK: (,tea �.►��
DATE INSP NEEDED: DATE INSP: 10 t is
INSPECTED BY: Q
WORK IN
PROGRESS: s 7-14... C Ac:1 /M(4 G� X _3 _ 7
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/mobv/forms 2014 Town of South Windsor INPSEMOWREPORT 14
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