HomeMy WebLinkAboutDrain Layers Permit 011 Cardinal Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6925 Contractor JMJ CONSTRUCTION CO.
Location 0011 CARDINAL WAY Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
PtTone>:No. (860)528-7889
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[Expiration
ermit No. 6925 Town of South Windsor, CT
ermit"Date 12/01/1998 Drain Layer Permit
Date 12/31/1998
Descri,,p: CASH 16 . 25
Applicant Location
Name JMJ CONSTRUCTION CO. Alrt�. 0011 CARDINAL WAY
Addr. 658 ELLINGTON ROAD Qwner C;LARK REALTY INC
SOUTH WINDSOR CT 06€34
Phone No. (860)528-7889 ` fry
The Drain Layer ask.9 0,ct nth- p6 il °his u f tc ,cerise issued by the
state and hereby agree t 1 i >th� � and WW)G6J #,,,np set forth in the
attached 'Conditions' aha 1 'b fn ac-- 0C e with Town of South
Windsor standais, all {3&HA rc}V dhaached conditions.
Issued By
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Date Ins ted —�
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT uk�
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work A
Lot
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Street No. Street Name
Premises owned by: ,70_�7
Name of Firm: - hone:
Address of Firm: ces7e all
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Com.merciaulndustrial
Building of acres
Connection will be made with
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 J the holder of Drain
layer's License No. *16f3a Only olders of Pl, 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:90/, Print Name ��, yr jar 0
Lic a rain Layer
Date:
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: a
BUILDING ADDRESS , 1
STREET : C r
-�- SUBDIVISION: ZALJ,
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S PEQSOR (PRINT)
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STREET ADDRESS SIGNA
DATE
TOWN STATE ZIP INSPECTED BY TOWN
ob DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR r: YELLOW - CONSULTING ENGINEER / DEVELOPER