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HomeMy WebLinkAboutStreet Cut Permits 571 Nutmeg Road (2) 1700008 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE:. 01/24/2017 GIS ID:65100571 , t FEE: 0.00 MUNIS APPLICATION# 201700068 EXPIRATION DATE: r'Ft x a er APPLICANT a � f F Lr;,: LOCATION NAME: METROPOLITAN DItfiRICT ADbR1;SS571%tNIJTMEG ROAD ADDRESS: 125 MAXIM ROAD ti - OWNERHARNHOOT LLC HARTFORD,CT 06114 '013t } 598 r 7}K 4GLASANBURY,CT 06033 PHONE ;:a a �' �.. Y9 rz WORK DESCRIPTION: BOA AND RC1DV/O 574070 �F� k 5 ri `� y 3 5 1 S rkSw:: f'1� ff 9f At APPLICANT AGREES TO FURNISH THE TOWN QF 50UTI I IiOIz THE AMon T,tOF$(1VD REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANYXPEI�IS$S II`IUR{RED;IY�;TH�T04N FQR�NIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIE APPLICANT IS FAMii IAR H AND WIT L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED I/jNJ THE TOWN OF SOY IH WINlDaOR'.S.STR'EI.T, UTI'TI�vIIT MANUAL. ISSUED BY D 7' PECT'ED INSPECTED BY 1/24/2017 2:16 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** --------------- - t L ' Il F tit ,Ss YVI ,3i fi^I ' h T b i ' # RW ° '' r� 1 5 >'i ��fT x is W { � n F h TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: CONTRACTOR _ LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: / f 7 INSPECTED BY: S' WORK IN PROGRESS; ." _..... SEPTIC TANK PUMPED;SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: - DATE: S/mol loy/fb=?A14 Town of South Windsor INPSEaWffREPORT 14 3-439,Rev 2/12 METNC WAN Q!$ 1�1�T f�AV�IV[�!�'�`t E1T DATE: f& DORESSluvr 'rw?" BILL JOB t3 YEB i+D V1t 1� LOSEST STREET TC?UICP+I f01 ...... . .. - A - STATE HtGF1WAY:p:YES Q DRAW S#OM SHOWIN otioT C?t'`.0 S AN CUT MAf E IN . GROSS:S: GTIQNP. :0 STREET BlT IM.` " ©CON.C,�..:�_" C7 i'RI=MIX. USIDEWALK LIBITUM: ° `n:C01401 11. 0-FLAG .00URB OBITUM. , (3+OW. 0'ST0.NE ..0 DRIVEWAY El BIT>IMa.:.... ° .0 CONC. '00,00BRASS LO &.:SEED NEEDED fl`YES REASO FOR GUT ?� nEPm 0F. N. . ►•4 NUIwB>rR of CUM, " DATE OF FIRSTC..[3'i`. _ IS JC}B CQMI='LEFED: ES QNp FORE[U AW REPLACEMENT PAVEMENT CfJNTB69T N0 BITUMINOUS © CONCf?M Q PREMIX Q DATIE COMPLETED' t ACCOUNT NUMBER: CALCUCATIOUS UMM IT PAYING INSPECTOR _._. G}N'PRAC7dR (ORIGINAL) ffEL:LOW)