HomeMy WebLinkAboutDrain Layers Permit 50 Bailey Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7g19 Conk: a'@�t'6r"Dd1jT3IT&.::C• CONSTRUCTION LLC
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Permit No. 7919 Town of South Windsor, CT
Permit Date 05/16/2005
Expiration Date 06/15/2005 ln,..... Drain Layer Permit
De scrip: INSTALL SEWER LATE RA S'
Applicant
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Name DOUBLE C CONS TRUCrTON,
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9>Y;',M. T RC.LE Addr. PO BOX 785 45EVA98
B:Rddf ASSOCIATES LLC
ROCKY HILL
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The Drain La
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and hereby ag.ree tXA.? <l tf >. :>
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attached 'Conditions
Tgtvn of South
Windsor standards, 1 O F
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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: SO' q�)at [e C e-- Lot # .
Street No. St feet Name �-
Premises owned by: ko L r r j r, �- S
Name of Firm: �b(-cam Phone: 2 J G 3
Address-of Firm: �l5 � 1�c,Q Qoc ( V C
TYPE OF WORK:
Lay House Drain_ • Repair House Drain
Lay Main ; Lay Lateral-for Commercial/Industrial
Building of acres
Connection will be made with _ 6 OU r
Existing Water Supply: Public Water__ Well
Proposed Start Date,. -- �-6 lEsstimated time for completion G2�cc�
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 �Pcc �'�, the holder of Drain
Layer's License No. 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.
Signed: yi' O Print Name: 0&c G.c" S
Licensed Drain Layer
Date:_ —o S
Standard forms\Permits\APPLICa1m FOR DRAIN LAYERS PERMIT.doc
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