HomeMy WebLinkAboutDrain Layers Permit 34 Blue Ridge Drive }
E TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7780 Contrl JAMES`THRQ,3.q
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Permit No. 7780 Town of South Windsor, CT
Permit Date 07/16/2004 Drain Layer Permit 1
Expiration Date 08/15/2004 Descrip: INSTALL SANIT. SEW. �.ATEP'1
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Applicant ;?` `:' %: L n
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Name JAMES THROWE „' (�034 SLUE RII7G ; DRIVE
Addr. VANS SEWER & SEPTIC O'v6 €Fr KOTILATF"bJ.
KALVI & GRACE H
97 RIVERSIDE DRkV
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ON C.::.0 fi:Q'6:5
Phone No. (860)289-00€95:;-,:kxi
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The Drain Layer s'"fr n s .< :. `nr
y gd t � � �id license issued by the
state and hereby agY.0aw--�%to„a €1:.the mg'llihiff. c 't.ka:z .: s,Qt,.:;;for h in the
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attached I Conditions'?: " 9�''1''<va'o a all X¢?=":`'' `4fifi r a i ':w th' Tk6wz of South e
Windsor standards, all, OSH,A�' 'e: 'Ye `.; t °;;' Y1 `:. e' at acted: o itions.
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Issued By
Date Inspected --------------------- "ii` e v'F ------
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: 3 t-I ,.
.T...Lot
Street No. Street N me
Premises owned by: C►,'
Name of Firm: c, Se�'v Phone:;��16 IY
Address.of Firm: dr,
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main ; Lay Lateraf for Commercial/Industrial
Building of acres
Connection will be made with 5-Ok 5
Existing Water Supply: Public Water ,, - Well
Proposed Start Date 203 I Uy Estimat �-
- - ed bme for completton2 f��v� �
ALL WORK-TO BE IN ACCORDANCE WITH-TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS CO DITIONS ATTACHED TO THE PERMIT
Permit-is to be issued to _,\Am.25 c-c,w-�,_ the holder of Drain
Layer's License No. ,3cR6,3'6 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. JnCf296Q67
Signed;
Print Name:
Licensed Drain Layer
Date:
Standard Forms\PermitS\APPLICA`ION FOR DRAIN LAYERS PERMIT.doe
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