HomeMy WebLinkAboutDrain Layers Permit 036 Cardinal Way TOWN OF SOUTH WINDS0134INSPFCTION REPORT
Perini t`Ao', - 8755 Contractor JMJ CONSTRUCTION CO.
Location 36 i.:ARDINAL MAY Address 658 ELLINGTON ROAD
Type Work, 14EW SAN L.AJ SOUTH WINDSOR CT Ob074
Phone No. ( 860 )528-7889
Date Insp Needed - � p pate
Time Insp Needed
Inspected By `ri- J
Work in Progress
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Permit No. 6
7
55------------------- _...
1'own of South Windsor . CT
Permit. Date o1/L9/ 1958 Drain Layer Permit
Expiration Date 02/28/ 1998
' Descrip:
Applicant Location
Name JMJ CONSTRUCTION CO. Addr y6 CARDINAL. WAS'
Addr. 658 ELLINGrON ROAD Owner,JMJ CONSTRUCTION CO
SOUTH WINDSOR CT 06074
Phone No. (860)528-7883 ''
I
The Drain Layer asaifined ttli4 permlt h�ks & VAJa,d license issued by the
state and hereby agrees t6 ''i41 I, "the terms arr( coad' 't•7_o,ns set forth in the
attached 'Conditions ' ,' Al 11:;work shall 'bO I n aabprdanc'e' with Town of South
Windsor standards , al 1 O,H-A i4qu i remeg-tss s and the"attached conditions.
Issued By
Date Inspected .-------1L_ .1_2— _ Inspected 8) ---^_�.:_1 J1 '�.------------
DCfryYl_1t Kin k7AF ®-���_ 7^+.y nF :] aii t Ws .•.rfnnr i'l __
APPLICATION FOR DRAIN LAYERS PERMIT Try
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
i
Location of proposed work: ` 1 ,r1" Lot #
Street No. Street Name
Premises owned by: s ,�� jf r��
Name of Firm: ---- Phone:
Address of Firm: Z` ��,� A�
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with 5 PR-
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 ' e lr J ='C_- c _0. the holder of Drain
layer's License No. "' �� Only haiders of Pl, P7 & W9 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.
j
Signed: -✓' Print Name « 1 S
Lice d D in Layer
�2
Date: