HomeMy WebLinkAboutDrain Layers Permit 20 Baker Lane i
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7146 Contractor SADOW EXCAVATION
Location 0020 Baker Lane Address 115 ELDREDGE RD.
Type Work NEW SAN LAT WILLINGTON CT 06279
Phone ,No. (860)429-2769
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Date I nsp Needed /Z3T/� pate >I nsp
Time Insp Needed 7'rtme Insp
Inspected By
Work in Progress
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Input Date I2ow
Pert } U No. 7146 Town of South Windsor , CT
Petit Date 05/22/2000 Drain Layer Permit
Expiration Date 06/21/2000
Descrip: TEMPLE LATERAL INSIDE DROP FEES AS RESIDENTIAL PER CFS
Applicant Location
Name SADOW EXCAVATION = Addr., 0020 Baker Lane
Addr. 115 ELDREDGE RD. gwper >TEMPLE BETH HILLEL
WILLINGTON CT . 06279 ,
Phone No. (860 )429-2769 ,`
The Drain Layer asskifined ,this pprmi,t ;h'As valid 11cense issued by the
state and hereby agrees to t 1 )' the a is . and pndi ti0ns set forth in the
attached 'Conditionsr.. -A1 ,rk sh11 b „ in a0 1 ' "'dance with Town of South
Windsor standards , a 1 1 "OSHPi.,requ�1^ 1�rtt , .ap,d the, attached conditions.
Issued By �y�- • Fate ..tee, ; _
Date Inspected S Z od Tnspeet _cl 13y
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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 $25.00
Location of proposed work: c�,o Z�a Lot #
Street No. Street Name
Premises owned by: --rempie B e A 11,111e l
Name of Firm: _ �4�.10� k��y��a� Phone:_
Address of Firm: O/.5`� �4 D-
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TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building - of acres
Connection will be made with `�Se�► 3
Existing Water Supply: Public Water .` Well
Proposed Start Date 517-3 zcxVEstimated time for completion
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 the holder of Drain
Layer's License No. Only holders of P1 or P7 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. o �;CrD j z
Signed:_ �?� �� Print Name: 1�1-0reo Saoloc,J
Licensed Drain Layer
Date: fez ao E)D
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc