HomeMy WebLinkAboutDrain Layers Permit 042 Cardinal Way Permit No:. 6757 t;ontractor JMJ CONSTRUCTION CO.
Location* 42 CARDINA - WA'r Address 656 ELL.INGTON ROAD
Type Wort- tIEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. 1, P,b1-) ) e,28 889
Date Insp Needed ----zt Z�_� — = Rate`''Insp._- -
Time Insp Needed sp.
ri
Inspected By
Work i n Progress -- - . -w.� '�"'rt� �►� ,s�- __ ki_ ---
r-
�..�- '•�..�-�=---- U ate
i
Permit No. 6757 Town of South Windsor , CT
Expiration Date ta;�/ 1 :�j1y9�s
Descrip:
Applicant Location
Name JMJ CONSTRUCTION CO. Addi . 42 CARDINAL WAY
Addr . 658 ELLINGTON ROAD Owner CLARK REALTY , INC.
SOUTH WINDSOR CT 06074
Phone No. ( 860)528-7889
The Drain Layer ass 1 gried, tri`r' 1 4rmi t !h8za `8 v 1 i. i. license issued by the
state and hereby agrees to a-rI the tert�� andr -c�i��?:i���o�s set forth in the
attached 'Conditions ' 11. `wprk`; shs 1 l 'b6 i.n a661`"dance w i th Town of South
Windsor standards, all `QSHA reu i r emertts, and Erie' attached conditions,
Issued By 'S kr� .= _ TAt
Date Inspected -- _� 9$-. lhsoeQ ed 8y _
I
-
v
Permit No. 6757 Town of South Windsor. C1"
Permit Date 02% 11/1998 Receipt, - Drain Laver
n, rar-;�r � r,,? : I �/ 1040P
APPLICATION FOR DRAIN LAYERS PERMIT 6'7
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed worker Lot #
Street No. Street Name
Premises owned by: a,-�42a' •
Name of Firm: - Phone: "
ti
Address of Firm: 6 c s
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with _57 0 JZ
Proposed Start Date Estimated time for completion b
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 .IAIIJ the holder of Drain
layer's License No. 2097 S 30 Only holders 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.
Signed. Print Name '04'yl.it?
License r n Layer
Date: "-�
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
-I- pemL.SUBDIVISION: 14 / // f
NORTH ARROW
Ar
s
. 1 �
1
i
4
• ! + j i+ i j
IFJ
ro
i Ii I 3,
NI'll
1 I : i I 1 t I t ! f //•
i
j t ;
1. + } .....�..... i
CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
?� L DATE
TOWN STATE ZIP INSPECT BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER