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Home My WebLink AboutDrain Layers Permit 160 Birch Hill Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7905 ¢>C:o rttr t VIO�ETTE'"SZLVESTER & SONS ) Location 0160 BIRCH HILL DRIVE Ae' €�5 C"iRs STFFEET Type Work NEW SAN LAT `f w"' > ,' _ . A'L.,%N RTiliub dt-1-.06108 J PhfSne '© 1,, }2 9,�3�46 f Date Insp Needed Da,e Ins M" ,4 , Y -----�------ ---- P S_ Time Insp Needed F 4 a Inspected B i y: Y x d� Ns r 1 G. Work in Progress o �" - ------------------ >Lx: IY L 7 <> f Inputo:.. ;...,>.. - Date ---- -------------- 1 Permit No. 7905 Town of South Windsor, CT j Permit Date 04/20/2005 "^ "" Drain Layer Permit Expiration Date 05/20/2005 y;, ¢„Descrip: PERMIT CK 36530 FROM,>: .SmU EH,%ONS'— ` Applicant PP <` lopat Lon Name VIOLETTE SILVESTIV-R :: Q S Oi60 B RCI �k�$rl`IbRIVE Addr. 65 CHERRY STREET ry r GULIAI fRUHf"` EAST HARTFORD GT 'O 1Q8 r3 W Phone No. The Drain La er `a :s` . i `'h°' <t mid Y g .d', y>'' : ck 1.%b.ak.ft e<: s.s Sed by the state and hereby ageesr.:to �. thdFtimbta.a€3d e�2fiittlyv�et forth in the attached 'Conditions' ,=�>A,.:w�a X'9 lih-ao th P'o?n of South Windsor standards, a1; OSIA'; u'3`wAitt"n, a"�NX -014-at he'1 eoAditions. rt $ ;. Issued By %LPL 4. Date Inspected 1z 0�� $ .v.:y sue, 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: 6) 'VC14 Lot # Street No. Street Name Premises owned by: �/ Name of Firm: ` U/ �/ a _ Phone:c-n)e7._��IK6 Address.of Firm: 117 .TYPE OF WORK: Lay House Drain Repair House Drain Lay Main ' Lay Lateral-for Commercial/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water ' Well Proposed Start Date EE stimated 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 :Jos 3/�`j 2F//�-p 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 atta ed thereto. Applicant has received Town Street Excavation Permit No. 9 and/or ConnDOT Permit No. CBYD No. �2 C CPS r r Signed: Print Name: r7 7 Li nsed Drain Layer Date: �° d.S-_ Standard]orms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc I 1 0 : 1 ! ■■ ■ r r ■ ■ Y ■r ■r ■ t� ' ■ r ■ �■ cry � R ■ ■ r■■ 1 /• •• 1 1 •c, 1' /• 1 • 1 0 / /- 1 1tMA DINTI A 1'