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HomeMy WebLinkAboutStreet Cut Permits 99 Sycamore Road 1800159 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 10/25/2018 ` GIS ID: 88800099 5 { FEE: 50.00 MUNIS APPLICATION# 201802105 x ' , $*IRATION DATE: 10/25/2019 APPLICANTOCATION NAME: METROPOLITAN DISTIjT t AIDtES``* 99 ORE ROAD ADDRESS: 125 MAXIM ROADVI1VItCHAEL R&SANDRA L r: S'�'�AIvTQRE ROAD HARTFORD,CT 061141, x f s PHONE R , 11 WORK DESCRIPTION: 8"MA�NlL LA ,'' t } rtY APPLICANT AGREES TO FURNISH THE TqIv>; QUTHVIND�C?1E AMOUNT QF BbNDtEQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY ? NES INCU TENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE 0h. CANT IS F'AMII TAR WI..TH ANi7 W LL`ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SQUTII WIN &10' REE Crt7T PERMIT`IVIANUAL. ISS ED BY DA=mjNmgSPECKED INSPECTED BY 10/25/2018 12:55 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** _ ------------- ------------ ----aw '. j k .0 5 a � 7� t`s�,Z w •mot y u i L - 2 1 1 t !p k •�5- � x ' TOWN OF SOU MMINDSOR INSPECITON REPORT PERMIT'NO.; . CONTRACTOR. LOCATION; S12 pc[ TYPE OF WORK; Mat r't 1,ea.k DATE INSP NEEpED: DATE INSP; INSPECTED BY; ' WORK:IN PROGRESS: (Jwt� Lam% SEPTIC TANK PUMPEa,:SMASHED; FILLED : WITNESSED ❑YES El NO AS-SUILI" INPUT:" DATE: ' 5/m6ltoy/fnrms 2014 Town of south va'i"irn'3NP5 CRQN tfEPOR'14 M"*.Rev 2/12 THE METROPOLITAN DISTRICT- PAVEMENT CUT / DATE. ADDRESS q9 S'C BILL JOB OYES `0 NO w0# /,? CLOSEST STREET TOWN Sof STATE HEGHWAY.❑YES >�N0 DRAWS ETCH SHOWING LOCATION AND SIZE F CUTS AN CROSS SECTION OF PAVEMENT CUT MADE IN ' 1 �9 1CISTREET W'8ITUM.—/—" CI CONC._" ❑PREMIX / —SIDEWALK ©BITUM. E]CCNC___" E]FLAG &CURB i6ITUM.MO' ❑CONC., Cl STONE` ❑DRIVEWAY ❑BITUM.,_ - 0 CONC. O GRASS LOAM&SEED NEEDED OYES ❑NO fg REASON FOR CUT- e?_'j22gCj'_yi- jea� DEPTH OF EXCAVATION: 0 NUMBER OF CUTS' 'F J DATE OF FIRST CUT,- IS JOB COMPLETED: AYES DNO --- -- YcX `\ - --- FOREMAN: REPLACEMENT-PAVEMENT ONTR CT NO.: X �J BITUMINOUS ❑ CONCRETE 0 PREMIX❑ a DATE COMPLETED: ACCOUNT NUMBER r=d9 CALCULATIONS �yCuf'+10re� 1''� OF QU LTJrQ dTEf 1T M 1TEMa PAVINCA INSPECTOR CONTRACTOR 1 (ORIGINAL) (YELLOW)