HomeMy WebLinkAboutStreet Cut Permits 168 Graham Road (6) 1300288 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/18/2013
GIS ID;37500168 FEE:
MUNIS APPLICATION# 201301707 1I/18
/ �kEXPIRATION DATE: 25.00
/2014
APPLICANT x4` 14 s? 5y' LOCATION
NAME: JAMESTHROWEDBA � �r ` <T4
ADDRESS: 97 RIVERSIDE DRIVE SS t�S: WA
ROAD
VERNON ROCKVILLy OQ � fsr r�VNERF v IUPCH�INOS MARY LOU&SUSAN M
«x A 1�69�ELAINGTONROAD
PHONE 860-289-0095 � s i` f t *SO VINDSOR,CT 06074
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WORK DESCRIPTION: STRPE IJTi'fh i Ak�L, i TERA,
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APPLICANT AGREES TO FURNISH THEIiWN QF S(��J7'�3�4QR�T��{ IOU�IT��7���O�D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Ay E )3UHE`T OF0121VItNTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI�E'�APPL�CjTI � �wIT LLI ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN'bFRMI�T$VIANUAL.
ISSUED BY `D&TE' SP C'I'ED 'Y INSPEC ED BY
11/18/2013 3:23 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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PLEASE NOTE THE DEPgSIT FOR`THE PERMANENT PAVEMENT P.,ATCH AND CURB REPLACEMENT IS A
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PERMANENT PATCH AND CURB REPLACEMENT,INCt:UDINCa:ANY INGREASES.IfV PATCH AREA,.CIJRB
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`:I AGREE TO FUFt1V1SH TC7 THE TOWN OF SOUTH WINI�SOR TFfE ARAOI:fIVT.OF BOIVt] REQUIfiEQ:`AND,.TCI REIMBURSE;THI :
TOWN QF..SOUTH:WIfdD50R FOR ANY EXPENSES INCURR' BY':THE.TO1NN:FOR MAWTENANCE OR REPAIR WORK E-
CONNEC7lON WITf-1 THlS PERMIT'AND THAT l W FAMILIAR WITM A.ND WILL ABfI)E BY THE RUB S A{�ID REGI1LATipT+iS. , R'
PERMITS .S AUTLI DIN,THI=:TO�IV.N OF SOUTH WINDSOR'S:STREET CUT PERMIT:MANUAL:;? '.
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 300�1 ;CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP.NEEDED: DATE INSP: 12 - 3
INSPECTED BY: >
WORK IN
PROGRESS: lS -e - C
e G• iA
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: �- DATE:
V,'12007 Tortr:of SoUth Windsor?LAPSE-LTTohd REPORT 07