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HomeMy WebLinkAbout350 Pleasant Valley Rd - MDC - Permit & Sketch911 /2021 T 61� £l4 Permit Number: ESE-21-221 Application Date: August 31, 2021 Contractor Name: Contractor Address: Phone: Email Address: Applicant Name: JMDC Applicant Address: 125 MAXIM 06114 HARTFORD.CT Town of South Windsor v Engineering Department Street Excavation Permit Base Permit Fee: $50 Plus additional charges as applicable Expiration Date: September 1, 2022 Property Owner: I MDC Location of Work:1 350 PLEASANT VALLEY Utility Name (if applicable): MDC Type of Work: Utility Company Work Description of work: WATER MAIN BREAK Date work will start: August 25, 2021 Type of Utility (if applicable): Water Valid From: September 1, 2021 Expires on: September 1, 2022 Jeffrey Doolittle, P.E., Town Engineer September 1, 2021 Date Signed Applicant agrees to furnish the Town of South Windsor the amount of bond required and to reimburse the Town of South Windsor for any expenses incurred by the Town for repair or maintenance work done In connection with (his permit. The Contractor assigned to this permit has a valid Drain Layers License issued by the State of Connecticut and hereby agrees to abide by all the terms, conditions, miss and regulations of permits as outlined in the Town of South Windsor's Ordinance, Drain Layers Permit Manual, Public Improvement Specifications, State and Federal OSHA requirements and any other applicable conditions. 1/1 0 \.