HomeMy WebLinkAboutDrain Layers Permit 85 Bailey Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No 7 Cont or DOUBL G�:aONSTRUCTION LLC
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Type Work rW SAM ET 211N. H'3L
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Date Insp Needed --------------
Time Insp Needed ------------
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Permit No. 7801 Town of South Windsor, CT
Permit Date 08/19/2004 Drain Layer Permit
Expiration Date 09/18/2004 �;o• «->::;
Descrip:
Applicant f,: Lo&?tion
Name DOUBLE C CONSTRUCTIro 9 8 $AILEY CI `Q.LE
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Addr. P 0 BOX 785 45 EV:ANS''ID z � SJfA� BtK J15u�OCIATES LLC
ROCKY HILL 'G B 0 6. 6 4
Phone No.
AY
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The Drain Layer asg{�s� gd Ehs permt� � ffilid z '� s .issued by the
state and hereby ax� �: ak1k :::C�� � oi�l�tiose ,forte in the
attached 'Condition' ._F1 ';,ya st - %kaEP' ci$� >' 'ey_iv< : h-Towi of South
Windsor standards, a 636i
d'cacitions.
.•st � S h NSF,���
:Issued By
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Date Inspectedi y'
APPLICATION FOR DRAIN LAYER PERMIT njo\
' TOWN OF SOUTH WINDSOR ' r
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
.Location of ro
p posed work. ( -ec rc.(2 Lot #
Street No. Street Name
Premises owned by: S"J i goo �z S S C <<
Name of Firm_wA lc Phone:-2a I l SG
Address.of Firm: `15- Qe ��( I
.TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main ; Lay Lateral'for Commercial/Industrial
Building of acres
Connection will be made with t2UC,
Existing Water Supply: Public Water Y Well .
Proposed Start Date_S �-`(�-6 ( Estimated time for completion CQce
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 O'eCj ,.L
the holder of Drain
Layer's License No. Aq rr scx 4 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: ILI
Print Name: Gv')e4 Cc> �< <
Licensed Drain Layer
Date: g` 1 -G c(
Standard Forms\Permlts\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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