HomeMy WebLinkAboutStreet Cut Permits 47 Old Farm Road (3) 1700074 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 04/24/2017 fi
GIS ID: 66300047 s
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MUNIS APPLICATION# 201700408 0 F µ EXPIRATION DATE:
APPLICANT k LOCATION
NAME: EVERSOURCE x ? ADDRESS ? ',47OLb FARM ROAD
ADDRESS: 112 PROSPECT HTLI`ROAD : - rQ'UVI�11R TEIXEIIZA JOSEPH R& SHIRLEY L -
EAST WINDSOR,CT fI608$ , - 47 OI D FARM ROAD
t S�}UTi WINDSOR, CT 06074
PHONE s
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WORK DESCRIPTION: EX A 1A ( 1�I`2' 2" ACIIC LH rg SAND I-2 T VAC HOLE IN
STI I F E TXm OI�I GASSERS �iJ``if'' R'
APPLICANT AGREES TO FURNISIi TH�TOVu' 1 QF SOUTI [�UI1�IJ�SC�it"SHE AM UI'7T-1 F l £ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A1�iYyl )1NSS IIUIRE�3IY 11IE TQWIF MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TPpI I�;t�NT I PAMILIAR WZfiHANI L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN`OF S (u N WI US S STRI El G IT MANUAL.
ISSUED BY DA'I'E=.I1FECTED INSPECTED BY
4/24/2017 8:24 AM *** PERMIT TO BE KEPT ON JOB SITE AT'ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTIQN REPORT
PERMIT NO:: 4W E r-7'- CONTRACTOR.' �" 1�,�✓ �, �'f,C?
LDCATION: Ea
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TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:_
INSPECTED Or.-Li-2
WORK IN .
PROGRESS' .10 c lt
- SEPTIC TANK.PUMPED;SMASH15D,FILLED WITNESSED ❑YES ❑NO
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INPUT: L 0NLk- DATEm
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