HomeMy WebLinkAbout664 Pleasant Valley Rd - Permit & Sketch0
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4 Town of South Windsor
Engineering Department
Street Excavation Permit
Base Permit Fee: $50
Permit Number: ESE-21-257
Plus additional charges as applicable
Application Date: October 5, 2021 Expiration Date: October 7, 2022
Applicant Location
Contractor Name:
Contractor Address:
Property Owner: I Bhupendra Patel
Location of Work:1 664 Pleasant Valley Rd
Phone:
Email Address:
Applicant Name: Hillary Brown
Applicant Address: 112 Prospect Hill Rd 06088
East Windsor, CT
Utility Name (if applicable):
Eversource
Type of Work:
Utility Company Work
Description of work:
Excavate to install gas service
Date work will start:
October 5, 2021
Type of Utility (if applicable):
Gas
Valid From: October 7, 2021
Expires on: October 7, 2022
�� p& October 7, 2021
Jeffrey Doolittle, P.E., Town Engineer 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 this 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, rules 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.
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