HomeMy WebLinkAboutDrain Layers Permit 79 Bailey Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7800 Con5pa,&or DOUBLE" t.vC9NSTRUCTION LLC
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Location 1twIllZ3t3cir�est�: OQXT 7,85 �'S.,,EVANS RD
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Type Work NEW SAN LAT :�f_ H ILACT; O-:Q67
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Permit No. 7800 Town of South Windsor, CT
Permit Date 08/19/2004 Drain Layer Permit
Expiration Date 09/18/2004
Descrip:
Applicant , xa °s :LNation
Name DOUBLE C CONSTRUCT g L�: III ,9A:T9 �AijE3U LE
Addr. P O BOX 785 45 E'�AN -'.AID� �� � a�ADY B1i0C1K ASSOCIATES LLC
ROCKY HILL UT 0666�
Phone No. ( ) -
MN
The Drain Layer`ya8s-14! ' 1 s pert r.,}4W`� ;.`;"`tisalid 3 ;issued by the
state and herebya ;r s n...y;tj:.:.,,a;r
; t "a % ' ka : ` ?' -e.C :T:t�,i t i1 a`:;.ae3t, � `r t3h in t h e
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attached 'Conditions' 11 5 sf ;SF-14.�;;z.rk: Mr
aae>;z3h:.Taw, of South
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Windsor standards, 17cSHAe t a G c
q # r } d ' xllitions.
WON
Issued By
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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: 9 �Q< <.� C(<-C (f Lot # t r
Street No. treet Name
Premises owned by: Eck, c/
Name of Firm:_a a (201, Phone: fs -
Address.of Firm: 4"5 E vim-,-t F 04
TYPE OF WORK:
Lay House Drain ,< Repair House Drain
Lay Main _ ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with PUC,
Existing Water Supply: Public Water )I-' Well
Proposed Start Date `(-0 ( Estimated time for completion t CAL
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 ��,eccvIL CO (< (k c the holder of Drain
Layer's License No. 2 9- S 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: JPrint Name: r ea,%_ w (( c&L c
Licensed Drain Layer
Date: l -GL(
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc
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