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HomeMy WebLinkAboutDrain Layers Permit 050 Cardinal Way Permit No. 6839 Town of South Windsor, CT Permit Date 06/18/1998 Drain Layer Permit Expiration Date 07/18/1998 Descrip: PR RCT#85 Applicant Location Name JMJ CONSTRUCTION CO. Acldr. ' 50CARDINAL WAY Addr. 658 ELLINGTON ROAD Qwner JMJ_CONSTRUCTION SOUTH WINDSOR CT fl6074 Phone No. (860)528-7889 The Drain Layer assigned; this Perm it. h:aa a ya r d 11,cense issued by the state and hereby agrees to", the terms'=rind coihd.�tions set forth in the attached 'Conditions' : wot"k sha'f 'he i n. acco:�dahc�e with Town of South Windsor standards, allOSHA "guirements, and the attached conditions. Issued B y Title .- , Date Inspected In&pectert 8y TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6839 Contractor JMJ CONSTRUCTION CO. Location 50 CARDINAL WAY Address 658 ELLINGTON ROAD Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 Phone No>. (860)528-7889 ' Date Insp Needed Date , Insp°. Time Insp Needed J T" me Insp. Inspected By r Work in Progressr, Inpu . ;_ Date 01 04 PW'M(N+ 'J�-693 9 TOWN OF SOUTH WINDSOR .SANITARY SEWER LATERAL FIELD LOCATION s r DATE OF CONSTRUCTION: BUILDING ADDRESS L c� 7 ES N STREET : W, SUBDIVISION: NORTH ARROW i . e .. L._ 1 1 1 { I j _ i 1 Ld►���`o 60 Cam e CONTRACTOR (PRINT) NAME OF CONTRACTORS tUPERVISOR (PRINT) 4547 1,�� � � � Ana te�. 7—, STREET ADDRESS SIGNATURE ylf A d--s 0 V- t o � Q'� DATE TOWN N P G / STATE ZIP IECTED BY OWN 0 _ �D�- © b� DATE g TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW CONSULTING ENGINEER / DEVELOPER APPLICATION FOR DRAIN LAYERS PERMIT 3 9 TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE$25.00 i Location of proposed work: Lot # Street No. Street Name Premises owned by: T /'' L< /'g Name of Firm .� 9 Phone: ( ' Address of Firm: O&Sg f TYPE OF WORK.• Lay House Drain Repair House Drain ; Lay Main Lay Lateral for Commercial/Industrial Building of acres Connection will be made with S b Tk 3S Proposed Start Date 6—/8 Estimated time for completion J p 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 r1, 1.�1P T07TCAltie holder of Drain layer's License No. ?,4W8'3 d . Only holders of P1, 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 ..�y � (�(�(�t�S Lice 7Draer Date: