HomeMy WebLinkAboutDrain Layers Permit 0726 Avery Street Per n,4 N4. 6728 Town of South Windsor , CT
Perm'-It.-'06te 1 1 J07/11;9 7 Drain Layer- Permit
Expiration Date 12/07/ 1997
Dest;t :i P
Applicant Location
Name SILVESTER VIOLETTE & SONS Addy. 0726 AVERY STREET
Addr . 65 CHERRY STREET Owner KENNEDY JOHN J & ELEANOR C
EAST HARTFORD CT OEi"1,t38
Phone No. ( 860 )289-3466
The Drain Layer assigned this permit has a. .ya ] id 1Jcense issued by the
state and hereby agrees to' all the terms and corvdit, on8 set forth in the
attached 'Conditions ' . All work $hall be in. accortiance with Town of South
Windsor standards, all OSHA requirements , and the " at"tached conditions .
T s s u e d B y =' -T i t l r'; , --- _ --- ---
Date Inspected!
By �--
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6728 Contractor SILVESTER VIOLETTE & SONS
Location 0726 AVERY STREET Addr-ess 66 CHERRY STREET
Type Wort. NEW SAN LAT EAST HARTFORD CT 06108
Phone No. ( 860)289-3466
Date Insp Needed - ------- 1.. gate, Insp.
Time Insp Needed __- - -- -1 m@ ;Zr?sp; ---------____
Inspected By
Work in Progress
Inu�f`t
� -- -- Date
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR rJ 7 �� $ 7
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SUI LIYAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work �Q �� Lot #
Met No. Street Name
Premises owned by:
Name of Firm: Phone: vZ a'�1 LC
Address of Firm:
TYPE OF WORK.
Lay House Drain y ; Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with
Proposed Start Date l �0 7Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND COIVDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to the holder of Drain
layer's License No. G oZO 4 Only holders of Pl, 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 lz`f �(Ir s (mod►
Licensed Drain Layer
Date: z
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : Jo�lo � �� S� S�� w ,
STREET
SUBDIVISION:
NORTH -ARROW k4Xf
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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I D l Ci f.- l d P.,S - -- ,� 1v(�.� O D'f^�pp•
STREET _6 Q � � _ SIGNATURE _ , ��E
TOWN STATE ZIP IN ECTED BY TOW
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/� ���7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER