HomeMy WebLinkAboutStreet Cut Permits 67 Bourbon Street 1700018 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/06/2017
GIS ID: 12300067
T FEE: 0.00
MUNIS APPLICATION# 201700187
%VPIRATION DATE:
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APPLICANT ,'t LOCATION
NAME: EVERSOURCE C AI?DRE � � TBO�LTRBON STREET
ADDRESS: 112 PROSPECT HIL1<;AWAIT ` � T�ALLAIUOLLITA ROBERT F&SUSAN M
EAST WINDSOR,C 0 08$ ^) U sN. 6 dII 2BON STREET
PHONE a = M ui S�UTHVINDSOR, CT 06074
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WORK DESCRIPTION: GAS { �IO`E4WORKIt� RCI. rA )?"I�SS TO HOUSE
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APPLICANT AGREES TO FURNISH TH VOAN b}F SOUTH;
AND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR All YTNP
pN ) SVI✓ y D I 111E TO;WNF WRRF IWAfNTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI�I,E APPVC.MTj L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWNbP souTK WINI)S0 'S STREET BUT PF" IT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
3/6/2017 2:40 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO::_ l D�f CONTRACTOR:
LOCATION: ,c
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK
PROGRESS:_ 1-�. �l� .C�..� r
SEPTIC TANK.PUMPED;SMASH9D,FILLED WITNESSED ❑YES ❑ NO
AS BUILT: `
INPUT: DATE:
S/moltcy/Porms 2014 Town of 5ooth Windsor INPSEC1' WREPORT 14 "
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The material contained on this map
Title:
shall be considered proprietary to
Eversource Energy and user (which is
defined as any person or .entity ....-....----............. .. ..... ...... h y
_ who has receivedthe map through
EV�
sale, purchase, exchange, gift, or Information shown as not guaranteed and Eversource Energy F UR-
assurxies no responsibility. Contractors are urged to call
otherwise} sholl keep it in confidence Eversource. Energy for further irforrnation at 1—$00-989-090(} ENERGY
and shall not furnish or disclose it
Jo any third party without the prior
..
written permission of Eversouce Energy.. Plotted: 02—Mor-2017 i By: gisewrl