HomeMy WebLinkAboutDrain Layers Permit 0136 Avery Street I
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6732 Contractor SKIPS SEPTIC
Location 136 AVERY STREET Address 27 MUDDY BROOK ROAD
Type Work NEW SAN LAT ELLINGTON CT 06029
Phone `Nq. (860)875-2332
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Permit No, 6732 -1-own of Sough Windsor , CT {
Permit Date 11 /13/ 1997 Drain Layer Permit {
Expiration Date 12/13/1997 1
Descrip:
Applicant Location
Name SKIPS SEPTIC A idr. ; 136> AVERY STREET
Addr. 27 MUDDY BROOK ROAD Owner
ELLINGTON CT 06029 i
Phone No. (860)875-2332 I
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The Drain Layer assigned this permit has a' valld license issued by the �
state and hereby agrees to alfi ' the terms and cond,litiens set forth in the
attached 'Conditions ' . Ail work_ shal;l, be in accordance with Town of South
Windsor standards , all, OSHA requirements, and the attached c,onditiuris .
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Issued By ,.lR e
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Date Inspected _.�t�s - t�� Inspected BY
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
" 1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: Z26 411C 2 y 5 7`- Lot #
Street No. Street Name
Premises owned by: Xlck /. 01414 E /k o z zC ;Z'*
Name of Firm: 5Efr7c O'er yr c Phone:
Address of Firm: .27 111u'Oby &Ronk 7Z t_kLrN67v A/
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with ��- saw 3S�
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
Permit is to be issued to 7?y4 W!l f«R the holder of Drain
layer's License No. do�2,0 77,) S' . 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 74Y #f 4J/14�€R V,;;--.
Licensed Drain fayer
Date:
+ TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF C N RACTOR' RVISOR INT)
02 ? /61aDDy JIoeoak-
STREET ADDRESS SIGNAT
4LL IAJ 67-DAI C-r 0(o0Z-9 DATE
TOWN STATE ZIP INSPECTED BY TOWN
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OCR 0 S' �� 3 �— DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER