HomeMy WebLinkAboutDrain Layers Permit 74 Bailey Circle i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7850 Con tr, t<i "'iJ`OTtE:::. CONSTRUCTION LLC
Location 0074 BAILEY CIRCLE �`
?�dC}re� � �<;�P O ��XF,;,785"^-§,5 EVANS RD
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Type Work NEW SAN LATROCKY H%I:L ;.¢CT 16,,6.067
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Date Insp Needed
Time Insp NeededP
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Permit No. 7850 Town of South Windsor, CT
Permit Date 10/28/2004
,... Drain Layer Permit
Expiration Date 11/27/2004 «.,.
Descrip: LAY HOUSE DRAIN
Applicant
PP LOC.don
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Name
DO
UBLE
E C CONS TR UC.'I
Addr. P .
O BOX 785 45 EyANS' ?AbY $RQtSK A 4bC ATES LLC i
ROCKY HILL %C`I"
Phone No.
The Dra
in Layer
Y issued by the
state and herebyr.ees,<=.t
a 9 . t,fo th in the
attached 'Conditions`a.: ,11"«..iaork€�'. .l..11 :;3? :i3: .oaYi.c. "iz >th`'PEswn of South
Windsor standards, aT` 0 S HA,,.r-e.lk u`a::�:. me ;p ."a Y h.;�-`:a1r't` ; tted"conditions.
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Issued By
Date Inspected
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APPLICATION'FORDRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: n .
Qr e t_. , e Lot*
Street No. Street-Name
Premises owned by: �c►' s - r S
Name of Firm: Phone: 8bo-
Address.of Firm: O, (fax 7 85 oc�+► ►1 l ( p6
'TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main
Building of
Laterar for Commercial/Industrial
acres
Connection will be made with
Existing Water Supply: Public Water . Well
Proposed Start Date__ j p ow Estimated time for Completion dy'
ALL WORK-TO BE IN ACCORDANCE WITH-TOWN OF SOUTH WINDSOR STANDARDS
ALL OSHA REQUT'REMENTSAND CONDITIONS ATTACHED TO THE PERMIT '
Permit is to be issued.to_ C h r,� the holder of Drain .
Layer's laoense No. Only holders of P-I; P-7 or W 9 licenses
will.be issued a permit, PERMIT WILL EXPIRE TwRTY.(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: '
Print Name: rs �u/�
Licensed Drain Layer
Date:
5k ndacd Fa Apem it��APPC�CATION fOR DRAIN LAYER PERMIT.dne'
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