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HomeMy WebLinkAboutStreet Cut Permits 3 Paper Chase (2) 1700075 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 04/28/2017 GIS ID:69000003 FEE: 0.00 MUNIS APPLICATION# 201700434 1 5 =EXPIRATION DATE: 4 4 i APPLICANT ' G LOCATION NAME: EVERSOURCE A1)bRESSPI CHASE ADDRESS: 112 PROSPECT HII Ia R( 1A F r fi OWNERf ICAO AGHOTHAMA MADHUSUDANA& EAST WINDSOR, 3 PzPEI CHASE i PHONE SOUTH'WINDSOR,CT 06074 y s r . ,2 . � Y t . � ,E vv •i r s WORK DESCRIPTION: INS A ;1G, P✓S Z zS'fiP�TION AT EI �QF GAS STAIN 1-2'X2'VAC HOLE t Fi7i y a • � 5 � x ,� ys4'Ys w.t i5 ,a i r. APPLICANT AGREES TO FURNISH THIS TOf OFOLF`T �WII�I)�SI� °AM(U7TVbF BIND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR t�I`IY�F�XPINSI;SIMIID J TIE T WET �5I2VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND fW A0 Lit ANT z IDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN O ( UTH 1I1±IDSOR'S SxRET CUT I'IKRIVIIT MANUAL. C' 'YY1© 1�a �5 ISSUED BY D��`I 1NSgEC I ED INSPEC ED BY 4/28/20171I:28AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ------------ --------- - ----- J l K Y S r ~ l T w.sk i 1 - *,* d& y Ey i zN a� i no .k- ` h7 �.kY .•r'v'+. 3�µ'#i;s�5v �ti, �� r�^+;,s+: t ,'y("Alj� X 2r c ay} '�'u ` 5 t � ` NuY mF V EN i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: i "i Q,®Q'-7S CONTRACTOR: E Q e LOCATION: 3 C N TWE OF WORK: + X a' VAC �L l e_ DATE INSP NEEDED: DATE INSP. 6 LL_ IN PECTED BY: WORK IN PROGRESS;_... SEPTIC TANK.PUMPED;SMASH90,FILLED WITNEWD ❑YES ❑NO ArBUILT: ` INPUT: DATE: n . S/molloyIPorms 2014'Ebwn of South Windsor 114PSECQOWMPORT 14 PL1741"k'(}R fQR � ►' ' NRMfT =�.... ��.. App€.No. '` TOWN OF SOUTH WINDSOR Permit No: PUBLIC WORKS DEPARTMENT �U[,Lly�4N-A�lMUE :M ...-: . •�; t � r.<�. � _ SOUTH W.INDSOR C-T-00014 FEE $MAO Name of-1=i` Ce Phone Address of ° Fim1 ,, ; Location of proposed tarot ... _....... .............. Describe fully nature of toAR I. y}� 1' i ... - Azo :.._ r.. Startinge ; Approx.time for oompl100 Call Before You Dig No ExistingllVater Supply: ❑ Pub€ic• r. ❑Wetl Existing Sewage Service ❑Public Sewer ❑Septic 7.. hlla'C T"Kw_k I Rt R T�iE PiEfM� ANRNTPAVEMENT PATCH AND CURB REPLACEII€�ENF i$A. 1p FARIt 9T�SiAI T�I�APP(.�t�14NT.,;*.NSIBLE FOR THE FULL FINAL COST OF THE PR�iMA�' RR;R.>eta]E;,AOl�N1l�N';',•II�G�.tJa1P�t�A�t1Y INCREASES IN PATCH��IN ;,Cf ; : IGtYt�TlA1FICT €>IL Alp TM Tt?'INI `S,:IDN'I'R�l 'i` (1 . THE AEHMANENT P17EiX;�S''!'f'P�CALLY, '• ����'�' iN A 1�` + .OI�TJ�B�'EMPillkli'If''F�A'M'�H gUT IT COULD BE LATER THI1N A 1lEAR. • �f( ot r..... el��i of proposed t two copies of separate drawing ti . Indicate North 'No . . ........ 1 E.st.Patch Size(s): sf til Est.PVt.Thickness In. Est.Patch Unit Price$ /sf Est Patch Cosa a; .... Est Curb Replacement. i f,Est.Curt Unit:Price:::$. "':Est Curb:Cnst`�t Est.Traffic Unit Cost$ ' mr Est.Traffic Controls Airit"Of Depos[t Total Due Cheok# � .Appi€cant is responsible for',og" ' iiaxl?nik�'13a � B► . Paid _._ - - - .r i AGREE TO FURNISH TO THE TOWN OF SOUTf WINDSOR THE AMOUNT OF BOND REQUIRED:AND TO REIMBURSE T,f E TOWN OF SOUTH WIND;SOR•FOR ANY EXPENSES'INCURRED.BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT,I AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REOUTATIONS FOR PERNNTS AS,_. TOWN'OF,S WtNDSOR'S STREET CUt,.PERMIT`MANUAL. 17ato: � Titter Drivers License.... it nSe�i' PL 1'L f3 PI t.1NQRIiINQ ,A( A R.APPLICATION FOR IS OF PERMIT WaRK'lViAY Nt `I BN"EIIN 1JN'1# d1PSFt11ICIT pSE[+CSsuED Pi~I#MT SkrlAtal.,lE{>CrDtai2,A'f dlLilurE$t: .... Street Excavation Pemtlt 08 REV 10-22-08 -- - The matefla!`�cntat�ed Qn th,s map �����. " F.,4pi790U[LJ4 - +79111-U3fFF�AC�l'IS. WE Ra li a ":; s '< ENERGY - � .Irl[armobon ShfiOrl 6 no!;60n eed karat,Ace Energy nssumrs no responsAdlY' -' � �Contraetars ara urged to call Eversaure W further fMortnation of a—ew 9889—Dow ~ g