HomeMy WebLinkAboutDrain Layers Permit 002 Cardinal Way Permit No. 6722 Town of South Windsor, CT
Permit Date 10/31/1997
Expiration Date 11/30/1997 Drain Layer Permit
De s c r i pF:
App I i cant
Location
Name JMJ CONSTRUCTION CO r db 2 CARDINAL WAY
Addr . 658 ELLINGTON ROAD
ref
SOUTH WINDSOR CT .`06074
Phone No. (860)528-7889
The Drain Layer assigrieci tihis pet;mit has a VIA JAI license issued by the state and hereby agrees to a1A the terms and corief tiers set forth in the
attached 'Conditions ' . All itQrk- shall be':
i n acos�rdanc� with Town of Souti,j
Windsor standards, ,all OSFHA r`egt4i rements', And `the attached conditions .
Issued By
T i.t l e :._
Date Inspected _- c-?__---i-- Inspected B
r
1
TOWN Of SOUTH WINDSOR INSPECTION REPORT
Permit No. 6722 Contractor JMJ CONSTRUCTION CO.
Location 2 CARDINAL WAY Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Prone "No. (860)528-7889
Date Insp Needed P DA to ns
Time I nsp Needed Time Ins
Inspected By --- _ -�
Work in Progress ---- , � 4- i .:.t� i ,rsi �
Input .._�_G- Date
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: CA Lot #
Street No. Street Name
Premises owned by: :')',I Cal/?C 41
Name of Firm: Phone: W (0
Address of Firm: 5' 4EA,'
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Comm.erciaVIndustrial
Building of acres
Connection will be made with Sb 3 S
Proposed Start Date / Estimated 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 I-T,41d, the holder of Drain
layer's License No. �0 Only"holders of P1, P7 & W9 licenses will be
issued a permit. Permit will expire thirty (301 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.
Signed: Print Name )� � ,�(]
ce ed Drain Layer
Date: