HomeMy WebLinkAboutDrain Layers Permit 334 Abbe Road I*f0 z;sv
APPLICATION FOR.PRAIN LAYERS PERMIT '
TOWN OF SOUTH WINDSOR _-
PUBLIC WORKS DEPARTMENT = �"9
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work 33 4 A e Lot #
Street No. Street Name
e
Premises owned by: � p6- &v�� ea
Name of Firm: �,y/ls - M 6, Phone: VA 1400
Address of Firm: 74 !Lher' ow e &m k (f I
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; .Lay Lateral for Commercial/Industrial
Building of acres -
�r
Connection will be made with ®�C
Proposed Start Date / -- - stimated time or com letion -
P .f P I S
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 / bevt `a its the holder of Drain
layer's .License No. 0 OA0 3 Only holders of P1, P7 & W9 licenses will be
issued a permit. Permit will expire thirty (3O) 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 fir^ C463
Licensed Drain Layer
Date: /�--A- 28
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TOWN ' OFw -SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: M-- �8- 76'
BUILDING ADDRESS 3-3 4
STREET : A 6e
SUBDIVISION: co
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGNATURE
3 f�c � ova k T^ 64016 _��s- DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
Fermi t No. 6903(1)/ Town of South Windsor, CT
3ermit Date 10/26/1998 Drain Layer Permit
xpiration Date 11/25/1998
)escrip: LOT 3
Applicant Location
Jame DAVIS CONSTRUCTION Adds. 0334 ABBE ROAD `
\ddr. 74 BARBER HILL RD O er�'=VEILLEUX RENE
BROAD BROOK CT Ott "t;
)hone No. (860)872-1400 �
The Drain Layer as itghed ,thiss permyt has . Ya1 d 7 tcense issued by the
state and hereby agrees to all 'the terns 'end iori�ltlons set forth in the
attached 'Conditions' ', -A11 `work shall" }yes; ,n aaoordance; with Town of South
Windsor standards, a11: the :attdched conditions.
Issued Byvp
►ate Inspected Inspect�c! ' By '
J
L� TOWN OF SOOTH WINDSOR• INSPECTION REPORT
Permit No. 6903 Contractor DAVIS CONSTRUCTION
Location 0334 ABBE ROAD Address 74 BARBER HILL RD
Type Work NEW SAN LAT BROAD BROOK CT 06016
Phone No. (860)872-1400
Date Insp Needed
Ne
� Qate Insp.,
Time I nsp Needed �` T e Lnsp_.F:d
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Inspected By
Work in ProgressT'
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Date iv�5-off