HomeMy WebLinkAboutDrain Layers Permit 0545 Avery Street i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6926 Contractor SKIPS SEPTIC
Location 0545 AVERY STREET Address 27 MUDDY BROOK ROAD I
Type Work NEW SAN LAT ELLINGTON CT 06029 I'
OJ66he,.No. (860)875-2332 I.
Date Ins Needed Lq�e_ bPatet1$P
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Time Insp Needed _
Inspected By36
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Work in Progress
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Date Ja,121,15V
Permit' No. 6926 Town of South Windsor, CT
P'ea t` Date 12/01/1998 Drain Layer Permit
Expiration Date 12/31/19.98
De,scrip:
Applicant Location
Name SKIPS SEPTIC Addy '05,45 AVERY STREET
Addr. 27 MUDDY BROOK ROAD AR ? RICHARD J + JANET M + SUR
ELLINGTON CT OFrl :�
r �
Phone No. (860)875-2332
The Drain Layer as$ri��dth pera �t� xs � c l i tense issued by the
state and hereby afire e. t � ")' hetr' nd "Volk � set forth in the
attached 'Cond i t i ons' A 1 shaI'll -ben ac�a ' ace with Town of South
Windsor standards, al 4O�W r� q � ► € end he° ched conditions.
Issued By if
Date Inspected 12''1I98
s
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' 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: "J— i' Lot #
Street No. Street Name
Premises owned by: 721C�-/42z7 &,q/-/F_7Z_
Name of Firm: 6 EP�7c g ?Zv; E_ Phone: '-76 3
Address of Firm: /Z6 ,w 6 n AJ
TYPE OF WORK:
Lay House Drain X_; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
F
Connection will be made with �
��VC_ S2)rz 3 5--
Proposed Start Date Estimated time for completion
ALL WORK' TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITt,�TTACHED TO
THE PERMIT f"
Permit is to be issued to m Gug LnktrZ the holder of Drain
layer's License No. cc) zo-7-2 z Only holders of PI, 7 & 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. Z---- Print Name Mfth is 4u qL k e- �(li
icensed Drain Layer
Date: /?- C o YU ��� 30� 7
r TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: A? 7— c/
BUILDING ADDRESS v£xY s-r
STREET : 9
DEC
OR
SUBDIVISION: ;, o
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NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRA 'S SUPER SOR (P 1
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STREET ADDRESS SIG URE
��L iti6 GTOQ C fi 60 o DATE
TOWN STATE ZIP INSPECTED BY TOWN
V ZS_ a,3 3-7- DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER