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HomeMy WebLinkAboutDrain Layers Permit 39 Alison Drive Permit No. 8058 Town of South Windsor, CT Permit Date 06/07/2006 Drain Layer Permit Expiration Date 07/07/2006 Descrip: NEW SANITARY CONN$CIIo Applicant , LpGation Name CORREIA EXCAVATORS I4S34d ()p3Q ON DRIVE Addr. 47 SMITHBROOK TERTfidC OwryAUKSTOLIS STEIIEN., F & CLAIRE M GLASTONBURY tv 660 3 Phone No. ( ) The Drain Layer,assigled-phis pagr t :h a s id license 'issued by the state and hereby agxees, tsr all:.the terms n condition .'set tgrth in the attached 'Conditions _All work' sha13@ _i si: tianc:ezti Town of South Windsor standards, aIl ;OSHA requirem.enG . Ykt3ataced' onditions. Issued By Date Inspected ..................... Inspected By TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 8058 Contractor CORREIA:<,-'EXCAVATORS INC K. Location 6 9 ALtSON DRIVE - idcYr,4ss 7 SIyI THBROOK TERRACE j Type Work NEW SAN LAT LASTOREf CT`;06033 yf Date Insp Needed �113/ bCo spate I�x� ---- ---- -- T" Time Insp Needed Inspected By Work in Progress _C �✓�1 rpc ( t� i Fri ----Sh,+ --4. �. . . . M 51, — --- �(�-eT ------------- APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT- FEE $60.00 Location of proposed work: ®�N �C Lot# Street No. Street Name Premises owned by: ' t" � r � Name of Firm: Phone:_Iel, « o Address.of Firm: TYPE OF WORK: D3 Lay House Drain Repair House Drain Lay Main . • Lay.ateral*for Commerdai/Industrial Building of acres Connection will be made with Exisdng Water Supply: Pu Tic Water Well Proposed Start Date 7 / N Estimated time for oompletion ALL WORK TO BE IN ACQORDANCE WITH'TOWN OF SOUTH WINDSOR STANDARDS ALL OSHA_REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit-is to be issued to o S Layer's License No. d g' � aI the holder of Drain Only holders of P-1 will be issued-a , P-7 or W-9 licerpes perm: PENT WILL EXPIRE THIRTY(30)DAYS AFTER DATE OP ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms -and conditions.set forth in the permit and attached thereto. - Town Street Excavation Permit No. Applicant has received - and/or ConnDOT Permit No, CgYD No. © 0 9 2 9 Signed: ,Print Naine: o 5 6' l�, rj 12 6e Li ensed Drain Layer Date: r ,� standard fbtms\Pertn1ts\APPUCATI0N FOR DRAIN LAYERS PERMIT.doc V - TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD - LOCATION DATE OF CONSTRUCTION: �/J $� BUILDING ADDRESS 31, STREET SUBDIVISION: NORTH ARROW Ael I !!! tw 0 1 d r 2,p t? Ig-: t CONTRACTOR (PRINT) NAM OF CONTRACTOR'S SUPERVISOR (PRINT) /j g STR D S rz� ff C fi' o - /f/� DATE TOWN STATE ZIP INSPECTED BY TOWN DATE 9- TELEPHONE. NUMRER WHITE - TOWN PINK CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER