HomeMy WebLinkAboutDrain Layers Permit 02 Ahern Drive (2) TOWN OF SOUTH WINDSOR INSPECTION REPOR1 Z'~
Permit No. 6513 Contractor SKIPS SEPTIC
Location
Type Address 27 MUDDY BROOK ROADType Work NEW SAN LAT EL_LINGTON CT 06029
Ptorre -No. (86G)875-2332
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Permit No. 6513 Town of South Windsor, CT
Permit Data 11/06/1996 Grain Layer Permit
Expiration bate 12/06/1996
Descrip:
Applicant L oc,at ion
Name SKIPS SEPTIC Addy , ` fu
Addr . 27 MUDDY BROOK ROAD Owner
ELLINGTON v L '06029
Phone No. (860)87 5--2.332
The Drain Layer assigno' d this permit, has a valid license issued by the
state and hereby agrees-- to'---All the terms and conditions se-r, forth in the
attached 'Conditions ' . All work shall be " in accordance w1tri Town of South
Windsor standards, all OSHA re--0airements aria the attached conditions.
Issued By ��_l . !1�` � TitIe -
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D, ee Inspected Ins acted !
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WIlVDSOR, CT
FEE$25.00
Location of proposed work 441C,1 P fV Lot #
Street No. Street Name
Premises owned by; ua s e P/V /_ 4(:v/_a /Z_
Name of Firm: c50tr Ps SC P1 7C_ Phone: 97 S 3 3.
Address of Firm: �7 !h C43�>Y CZA? 00k b f k 4- �'Al Gm n/
TYPE OF WORK:
Lay House � yin X Repair House Drain
Lay Main___r., Lay Lateral for Commercial/Industrial .
Building of acres
Connection will be made with P V C_ S":� 3 3
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT y 7j _ f 6 0 1 E,2 3
Permit is to be issued to -f_04 GJ 14 L 6CF 1Z the holder of Drain
layer's License No. 0g zr) - z . Only holders of PI, P7 & W9 licenses will be
issued a permit. Permit will expire thirty (30) days after date of issuance. The
undersigned Drain Layer hereby agrees to all the terms and conditions set forth
in the permit and attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No.
Signed: Print Name 77-1 r As
Licensed Drain Layer
ll
Date:
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS DEC 18 1998
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CONTRACTOR (PRINT) NAME OF CONTRACTO PERVIS (PRIN
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STREET ADDRESS SIG RE
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TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER