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HomeMy WebLinkAboutDrain Layers Permit 472 Abbe Road Permit No. 7717 Town of South Windsor, CT Permit Date 03/17/2004 Drain Layer Permit Expiration Date 04/16/2004 Descrip: Applicant Location Name BARBER UTILITIES L L> � ABBE-.,.Rb Addr. P.O.BOX 331 O�utY�Y W1kRRN, R08EvRT' ' ELLINGTON CT.;:.06025 . Phone No. (860) 872-23.30 i - i The Drain Layer assigned this permat 44' a Frslid license issued by the state and hereby arees Go all. theerm endridztio-ns set._forth g in the attached 'Conditions' fall work, skal>1 be .$n acc:ardan:c yz;th 0w.n of South Windsor standards-, all 0:SHA re.tluixe:rt Tts,, ..and tke atbaohed conditions. Issued By r ------------- Date Inspected __ / G —_ Inspectec By _ �- J� ��� / 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:_�7 Z A� ©LQ Lof# Street No. Street Name Premises owned by: �72-2350 Name of Firm: 1319�e&5, 2 vTi L J Phone: 08-b 5'33 Kc c") Address.of Frm: S /--�o,U pz�, TYPE OF WORK: Lay House Drain__,X__; Repair House Drain k Lay Main _ ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with PU C_ PlAr— Existing Water Supply: Public Water._ Well Proposed Start Date 3 2S-�'Y Estimated time for completion l D,9- ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit-is to be issued to-DAv,p C. S i*vj_,)s the holder of Drain Layer's License No. 2753 S'-1 Only holders of P-1, P-7 or W-9 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. CBYD No. Zoo -/ /Zv Signed: Pant Name: Dllv,D 6, Licensed Drain Layer Date:_ 3-i -2- 0 9 Standard F0rms\Permits\APPUCM0N FOR DRAIN LAYERS PERMIT.doc : 1 1 M INI